Organization
AMERICAN CENTER FOR INTELLECTUAL AND DIVERSE DISORDERS FLORIDA, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ABY OOMMEN (PRESIDENT/CEO)
(862) 221-8282
Entity
Organization
Contact information
Practice address
20617 WHITEWOOD WAY, TAMPA, FL 33647-3216
(862) 221-8282
Mailing address
20617 WHITEWOOD WAY, TAMPA, FL 33647-3216
(862) 221-8282
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
11/11/2016
Last updated
11/11/2016
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