Organization
SUCCESS FOR ALL OF FLORIDA, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SILAS SWAYNE HARRIS (OWNER)
(863) 299-0006
Entity
Organization
Contact information
Practice address
111 AVENUE R NE, WINTER HAVEN, FL 33881-2472
(863) 299-0006
Mailing address
PO BOX 2433, EATON PARK, FL 33840-2433
(863) 640-9170
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
686101796
MEDICAID WAIVER
FL
01
—
686101798
MEDICAID WAIVER
FL
Enumeration date
07/01/2008
Last updated
07/01/2008
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