# CERTIFIED CARE SOURCES INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1003374844
- **Authorized official:** RENEE MCKINNEY (PRESIDENT)
- **Authorized official phone:** (727) 600-9193

## Contact information

- **Practice address:** 7901 4TH ST N STE 101, ST PETERSBURG, FL 33702-4359
- **Practice address phone:** (727) 600-9193
- **Practice address fax:** (727) 225-9558
- **Mailing address:** 7901 4TH ST N STE 101, ST PETERSBURG, FL 33702-4359
- **Mailing address phone:** (727) 600-9193

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 385H00000X | Respite Care | — | — | Yes |

## Other

- **Enumeration date:** 03/11/2019
- **Last updated:** 03/11/2019