NPI | 1730832213 |
---|---|
Former Legal Business Name | TWO HEARTS ONE LOVE LLC |
Entity Type | Organization |
Authorized Contact | SEANQUANEE DENAZIA CHANDLER Owner/Operator 863-934-1700 |
Organization Subpart ? | No |
Primary Taxonomy | 261QD1600X Clinic/Center, Developmental Disabilities |
Enumeration Date | 2022-02-03 |
Last Update Date | 2022-02-03 |