Organization
K2 ESCAPE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ESSIE WILSON (CEO)
(813) 440-7815
Entity
Organization
Contact information
Practice address
1005 W BLOOMINGDALE AVE, BRANDON, FL 33511-7754
(813) 440-7815
Mailing address
1005 W BLOOMINGDALE AVE, BRANDON, FL 33511-7754
(813) 440-7815
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
251E00000X
Home Health Agency
—
—
310400000X
Assisted Living Facility
—
—
372600000X
Adult Companion
—
—
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
—
—
Other
Enumeration date
02/09/2022
Last updated
02/09/2022
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