| Kimrose Center, Llc | |
|
2527 Yale Ave Sanford FL 32773-5267 | |
| (404) 446-8259 | |
| Not Available |
| Full Name | Kimrose Center, Llc |
|---|---|
| Speciality | Behavior Technician |
| Location | 2527 Yale Ave, Sanford, Florida |
| Authorized Official Name and Position | Kentisha S Williams (OWNER) |
| Authorized Official Contact | 4074468259 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kimrose Center, Llc 2527 Yale Ave Sanford FL 32773-5267 Ph: (404) 446-8259 | Kimrose Center, Llc 2527 Yale Ave Sanford FL 32773-5267 Ph: (404) 446-8259 |
| NPI Number | 1134862873 |
|---|---|
| Provider Enumeration Date | 04/20/2022 |
| Last Update Date | 04/20/2022 |
| Certification Date | 04/20/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134862873 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106S00000X | Behavior Technician | (* (Not Available)) | Primary |
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