Wings of Love of Leesburg, LLC

NPI #1346407111 in Leesburg, Florida

Provider Information

NPI Number
1346407111
Entity Type
Organization
Organization Name
Wings of Love of Leesburg, LLC
Primary Specialty
Day Training, Developmentally Disabled Services
Enumeration Date
May 20, 2008
Last Updated
May 20, 2008

Practice Location

Address
1018 W NORTH BLVD
State
Florida
ZIP Code
34748-5057
Phone
(352) 360-0660

Authorized Official

Name
MR. PERNELL MITCHELL
Title
PRESIDENT
Phone
(352) 360-0660

Specialties & Taxonomy Codes

Specialty
Day Training, Developmentally Disabled Services

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