NPI 1306142864
Ici
Practice location
- Address
- 9462 SW 31st Ln, Gainesville, FL 32608-7921
- Phone
- (352) 222-8968
Authorised official
- Name
- Svetlana Korotkevich
- Title
- Reg Agent
- Phone
- (352) 222-8968
Registered specialties
Developmentally Disabled Services Day Training Agency
Primary
Registry record
- NPI
- 1306142864
- Entity type
- Organization
- NPI issued
- 1 Feb 2011
- Record last updated
- 1 Feb 2011
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.