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Society Of St. Agnes

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.

physician-icon Basic Information

Practice Location 6012 Cason Way, Lakeland, FL 33812-3888, US
Practice Location Phone863-644-6640
Practice Location Fax863-709-0595
Legal Business NameSOCIETY OF ST. AGNES
NPI ?1598069718
Entity TypeOrganization
Enumeration Date ? Jan 3, 2011
Last Update Date ? Jan 3, 2011
Note:
NPI: National Provider Identifier issued to health care providers by Centers for Medicare and Medicaid Services (CMS).

specialty-icon Specialties & Licenses of Society Of St. Agnes

SpecialtySpecializationLicenseLicense State
Day Training, Developmentally Disabled Services 14GH01357Florida
Day Training, Developmentally Disabled Services 14GH01351Florida

official-icon Authorized Official of Society Of St. Agnes

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/PositionDIRECTOR
Authorized Official Phone Number863-644-6640