# ACTIEF COMMUNITY SERVICES LLC

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

## Provider details

- **NPI number:** 1033759360
- **Authorized official:** YANELY BUSTELO GUTIERREZ (OWNER/PRESIDENT)
- **Authorized official phone:** (786) 208-9288

## Contact information

- **Practice address:** 3685 DAVIE BLVD, FT LAUDERDALE, FL 33312-3439
- **Practice address phone:** (786) 208-9288
- **Mailing address:** 3685 DAVIE BLVD, FT LAUDERDALE, FL 33312-3439
- **Mailing address phone:** (786) 208-9288

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251B00000X | Case Management Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 01/15/2020
- **Last updated:** 01/15/2020