# CORE TRANSITIONAL LIVING COMMUNITIES LLC

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

## Provider details

- **NPI number:** 1013663301
- **Authorized official:** JACK BROWN (CEO)
- **Authorized official phone:** (718) 791-3460

## Contact information

- **Practice address:** 6863 NW 2ND AVE, MIAMI, FL 33150-4071
- **Practice address phone:** (718) 791-3460
- **Mailing address:** 6863 NW 2ND AVE, MIAMI, FL 33150-4071
- **Mailing address phone:** (718) 791-3460

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 171M00000X | Case Manager/Care Coordinator | — | — | Yes |

## Other

- **Enumeration date:** 02/24/2022
- **Last updated:** 02/24/2022