# YACNOREV COMMUNITY SERVICES LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** yacnorev community services
- **Organization subpart:** No

## Provider details

- **NPI number:** 1295236701
- **Authorized official:** VERONICA BUNBURY (MANAGER/OWNER)
- **Authorized official phone:** (407) 558-5058

## Contact information

- **Practice address:** 750 S ORANGE BLOSSOM TRL STE 119, ORLANDO, FL 32805-3154
- **Practice address phone:** (407) 558-5058
- **Practice address fax:** (844) 246-6240
- **Mailing address:** 750 S ORANGE BLOSSOM TRL STE 119, ORLANDO, FL 32805-3154
- **Mailing address phone:** (407) 558-5058
- **Mailing address fax:** (844) 246-6240

## Taxonomy

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

## Other

- **Enumeration date:** 02/21/2018
- **Last updated:** 02/21/2018

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1720325186 | — | FL |