Most Relevant Information
Provider Data
| NPI Number: | 1003341199 |
| Provider Name: | CHANTRESS POOLE |
| Entity Type: | Individual |
| Taxonomy Code: | 251C00000X |
| Specialty: | Day Training, Developmentally Disabled Services |
| License Number: |
Most Important Dates
| Enumeration Date: | 04/26/2017 |
| Last Updated: | 04/26/2017 |
Provider Practice Location
2319 CENTENNIAL BLVD
LEESBURG
FL
347483215
Practice Location Phone/Fax
| Phone: | 3523613417 |
| Fax: |
Provider Mailing Location
2319 CENTENNIAL BLVD
LEESBURG
FL
347483215
Provider Mailing Phone/Fax
| Phone: | 3523613417 |
| Fax: |