Independent Living Community Services INC.
Case Management in Miami, FL. Organization (NPI-2).
NPI number1023200367
StatusActive
Last updated in NPPESAug 28, 2020
Details
- NPI
- 1023200367
- Entity type
- Organization (NPI-2)
- Legal business name
- Independent Living Community Services INC.
- Organization subpart
- No
- Enumeration date
- Aug 10, 2007
- Certification date
- Aug 28, 2020
- Last updated
- Aug 28, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 251B00000X | Case Management | – | – | Yes |
Practice location
4601 Nw 77th AveMiami, FL 33166-6449
Phone 305-262-1292 · Fax 305-675-7825
Mailing address
4601 Nw 77th AveMiami, FL 33166-6449
Phone 305-262-1292 · Fax 305-675-7825
Authorized official
Nestor J Plana
Chairman
3052621292
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