AGENCY PROVIDER SERVICES FOR INDEPENDENCE LLC

PALM BAY, FL
NPI1891051132
Entity TypeOrganization
Authorized ContactDEANNALYNN CENKNER
President/Owner
321-890-7014
Organization Subpart ?No
Primary Taxonomy251S00000X 
(Licence: FL  L11000062706)
Enumeration Date2012-04-11
Last Update Date2012-04-11
Business Address
AGENCY PROVIDER SERVICES FOR INDEPENDENCE LLC
1418 NORMAN ST NE UNIT#1
PALM BAY, FL 32907-2267
Phone number: 321-890-7014
Mailing Address
AGENCY PROVIDER SERVICES FOR INDEPENDENCE LLC
PO BOX 101369
PALM BAY, FL 32910-1369
Phone number: 321-890-7014
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