Intentional Provisions Outreach Corporation
Intentional Provisions Outreach Corporation is a Developmental Disabilities Clinic/Center in Homestead, Florida. Registered with an NPI since 2023.
- In the registry since
- 2023
Practice location Address checks out
1799 SW 8th StHomestead, FL 33030-6621
Phone: (786) 239-3081
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Developmental Disabilities Clinic/Center (primary) | Taxonomy 261QD1600X |
|---|
Record details
| NPI number | 1700663606 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Shandra Mallary — Owner/Direct Care · (786) 239-3081 |
| NPI enumerated | September 13, 2023 |
| Last updated in NPPES | September 13, 2023 |
| Certification date | September 13, 2023 |
| Mailing address | 1799 Sw 8th St, Homestead, FL 33030-6621 |
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