Organization
FUTURE LEADERS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RODERICK DWAYNE GREEN (DIRECTOR)
(813) 816-5209
Entity
Organization
Contact information
Practice address
4123 N TAMIAMI TRL, SARASOTA, FL 34234-4347
(813) 816-5209
Mailing address
4123 N TAMIAMI TRL, SARASOTA, FL 34234-4347
(813) 816-5209
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
024158200
—
FL
Enumeration date
01/28/2022
Last updated
01/28/2022
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