Society Of St. Agnes is a health care provider in Lakeland, FL. In this page you will find its mailing address, practice location, phone number, specialty etc.
|Practice Location||6012 Cason Way, Lakeland, FL 33812-3888, US|
|Practice Location Phone||863-644-6640|
|Practice Location Fax||863-709-0595|
|Legal Business Name||SOCIETY OF ST. AGNES|
|Enumeration Date ?||Jan 3, 2011|
|Last Update Date ?||Jan 3, 2011|
NPI: National Provider Identifier issued to health care providers by Centers for Medicare and Medicaid Services (CMS).
|Specialty||Provider Type||Specialization||License||License State|
|Day Training, Developmentally Disabled Services||Agencies||14GH01357||Florida|
|Day Training, Developmentally Disabled Services||Agencies||14GH01351||Florida|
An authorized official is an appointed official with the legal authority to make changes and/or updates to the Society Of St. Agnes's status and to commit the provider to fully abide by the laws and regulations relating to the National Provider Identifier (NPI).
|Authorized Official||Ms. Atukuzwe Victor Nyirenda|
|Authorized Official Title/Position||DIRECTOR|
|Authorized Official Phone Number||863-644-6640|