Organization · NPI-2

Ab Compassionate Services

Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities · Orlando, FL

NPI number1639818859
StatusActive
Last updated in NPPESJun 4, 2022

Details

NPI
1639818859
Entity type
Organization (NPI-2)
Legal business name
Ab Compassionate Services
Organization subpart
No
Enumeration date
Jun 4, 2022
Certification date
May 26, 2022
Last updated
Jun 4, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities––Yes

Practice location

1224 Carlsbad Pl
Orlando, FL 32808-7312

Phone 321-594-0057

Mailing address

5942 Park Hamilton Blvd Apt 40
Orlando, FL 32808-4117

Phone 321-594-0057

Authorized official

Andrew Brokenborough
Owner
3215940057

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