Organization
QUALITY CARE PROVIDERS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEANNA KIMBELL (FOUNDER/CEO)
(321) 946-3413
Entity
Organization
Contact information
Practice address
5565 CINDERLANE PKWY, 291, ORLANDO, FL 32808-4705
(321) 946-3413
Mailing address
5565 CINDERLANE PKWY, 291, ORLANDO, FL 32808-4705
(321) 946-3413
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
363AM0700X
Medical Physician Assistant
—
—
374U00000X
Home Health Aide
—
—
Other
Enumeration date
05/09/2012
Last updated
05/09/2012
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