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Organization

BOSS 1 LLC

Active
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Organization

BOSS 1 LLC

Active
Other names
Boss 1 LLC
Organization subpart
No

Provider details

NPI number
Authorized official
MARGARET A SIMON (ADMOINISTRATOR)
(813) 516-2823
Entity
Organization

Contact information

Practice address
3314 HENDERSON BLVD STE 100P, TAMPA, FL 33609-2999
(813) 516-2823
(813) 569-6713
Mailing address
3314 HENDERSON BLVD STE 100P, TAMPA, FL 33609-2999
(813) 516-2823
(813) 569-6713

Taxonomy

Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary

Other

Enumeration date
11/17/2022
Last updated
11/17/2022
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