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Christ In The Vessel Agency LLC

Day Training, Developmentally Disabled Services in West Palm Beach, FL. Organization (NPI-2).

NPI number1164029922
StatusActive
Last updated in NPPESJul 30, 2024

Details

NPI
1164029922
Entity type
Organization (NPI-2)
Legal business name
Christ In The Vessel Agency LLC
Organization subpart
No
Enumeration date
Oct 5, 2020
Certification date
Jul 30, 2024
Last updated
Jul 30, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
251C00000X Day Training, Developmentally Disabled Services––Yes
261QD1600X Clinic/Center, Developmental Disabilities––

Practice location

6573 Traveler Rd
West Palm Beach, FL 33411-6429

Phone 561-685-0914

Mailing address

6573 Traveler Rd
West Palm Beach, FL 33411-6429

Phone 561-685-0914

Authorized official

Melissa Ann Georgiana Scott
Cna
5616850914

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