Organization
AGENCY PROVIDER SERVICES FOR INDEPENDENCE LLC
Active
Organization
AGENCY PROVIDER SERVICES FOR INDEPENDENCE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEANNALYNN CENKNER (PRESIDENT/OWNER)
(321) 890-7014
Entity
Organization
Contact information
Practice address
1418 NORMAN ST NE, UNIT#1, PALM BAY, FL 32907-2267
(321) 890-7014
(321) 722-3760
Mailing address
PO BOX 101369, PALM BAY, FL 32910-1369
(321) 890-7014
(321) 722-3760
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
L11000062706
FL
Other
Enumeration date
04/11/2012
Last updated
04/11/2012
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