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Organization
RST MED-WAIVER INC
Active
Organization
RST MED-WAIVER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
REGINALD TAYLOR (PRESIDENT)
(352) 551-9172
Entity
Organization
Contact information
Practice address
306 W KEY AVE, EUSTIS, FL 32726-4531
(352) 551-9172
Mailing address
306 W KEY AVE, EUSTIS, FL 32726-4531
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
NULL
Other
Enumeration date
03/26/2017
Last updated
03/26/2017
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