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Organization
UNITED COMMUNITY CORP
Active
Organization
UNITED COMMUNITY CORP
Active
Other names
United Personal Supports
Organization subpart
No
Provider details
NPI number
Authorized official
PABLO MUNOZ (VICE PRESIDENT)
(786) 351-8410
Entity
Organization
Contact information
Practice address
6450 W ATLANTIC BLVD, STE #4, MARGATE, FL 33063-4532
(786) 351-8410
Mailing address
6450 W ATLANTIC BLVD, STE #4, MARGATE, FL 33063-4532
(786) 351-8410
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
234195
FL
251E00000X
Home Health Agency
Primary
—
—
253Z00000X
In Home Supportive Care Agency
234195
FL
372600000X
Adult Companion
—
—
373H00000X
Day Training/Habilitation Specialist
—
—
3747A0650X
Attendant Care Provider
—
—
3747P1801X
Personal Care Attendant
—
—
374U00000X
Home Health Aide
—
—
376J00000X
Homemaker
—
—
385H00000X
Respite Care
—
—
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
—
—
385HR2065X
Child Physical Disabilities Respite Care
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
016908500
AGENCY FOR PERSONS WITH DISABILITIES
FL
05
—
016908500
—
FL
01
—
234195
AGENCY FOR HEALTHCARE ADMINISTRATION LICENSE NUMBER
FL
Enumeration date
02/09/2016
Last updated
09/17/2016
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