Organization
ATARAXIA HEALTH & LIFE ALTERNATIVES, LLC
Active
Other names
Liberty
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRANDON MOORE-HARGROVE (MANAGING MEMBER)
(813) 313-8486
Entity
Organization
Contact information
Practice address
2600 CYPRESS RIDGE BLVD, WESLEY CHAPEL, FL 33544-6310
(813) 313-8486
Mailing address
2600 CYPRESS RIDGE BLVD, WESLEY CHAPEL, FL 33544-6310
(813) 313-8486
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
261QA0600X
Adult Day Care Clinic/Center
—
—
261QP2000X
Physical Therapy Clinic/Center
—
—
3104A0630X
Assisted Living Facility (Behavioral Disturbances)
—
—
314000000X
Skilled Nursing Facility
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
—
—
372600000X
Adult Companion
—
—
385H00000X
Respite Care
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
014867300
—
FL
Enumeration date
12/04/2019
Last updated
02/17/2020
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