Organization
OPEN ARMS MED WAIVER PROVIDER, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ANTONY M SCHLISSIO (CO-OWNER)
(352) 551-3263
Entity
Organization
Contact information
Practice address
37640 QUAIL RIDGE CIR, LEESBURG, FL 34788-8117
(352) 551-3263
(352) 589-4442
Mailing address
PO BOX 595, TAVARES, FL 32778-0595
(352) 551-3263
(352) 589-4442
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
677896896
—
FL
05
—
677896898
—
FL
Enumeration date
06/26/2007
Last updated
05/15/2008
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