Organization
FOUNDATION INTERVENTION SERVICES LLC
Active
Organization
FOUNDATION INTERVENTION SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RUSHELLE CAMPBELL (DIRECTOR)
(954) 326-2262
Entity
Organization
Contact information
Practice address
4776 VIA BARI APT 6304, LAKE WORTH, FL 33463-6793
(954) 326-2262
Mailing address
4776 VIA BARI APT 6304, LAKE WORTH, FL 33463-6793
(954) 326-2262
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
FL
Other
Enumeration date
11/15/2016
Last updated
02/27/2022
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