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Contact Information

AUTHENTIC MINDS LLC
718 BAXTER AVENUE S
LEHIGH ACRES, FL33974
 Phone: 239-271-5909
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Respite Care, Intellectual and/or Developmental Disabilities

385HR2060X
Indicates primary specialty

NPI Profile & details for AUTHENTIC MINDS LLC

NPI # 1659899565
LBN Legal business name AUTHENTIC MINDS LLC
Authorized official SHIQUITTA MATHIS - (ADMINISTRATOR)
Entity Organization
Organization subpart 1 No
Enumeration date 08/31/2017
Last updated 07/21/2022 - About 4 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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