Organization
DISTINCTIVELY ABLED, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEANINE DEL VALLE (MANAGER)
(305) 542-4442
Entity
Organization
Contact information
Practice address
13921 SW 22ND PL, DAVIE, FL 33325-5414
(305) 542-4442
Mailing address
13921 SW 22ND PL, DAVIE, FL 33325-5414
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
09/18/2024
Last updated
09/18/2024
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