# CICILY HEALTH CARE SERVICES

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Cicily Cares
- **Organization subpart:** No

## Provider details

- **NPI number:** 1407403975
- **Authorized official:** CAROL TAYLOR-MOORE (CEO)
- **Authorized official phone:** (772) 446-4510

## Contact information

- **Practice address:** 2658 SW BRIGANTINE PL, PORT ST LUCIE, FL 34953-4319
- **Practice address phone:** (772) 446-4510
- **Practice address fax:** (772) 902-8277
- **Mailing address:** 2658 SW BRIGANTINE PL, PORT ST LUCIE, FL 34953-4319
- **Mailing address phone:** (772) 446-4510
- **Mailing address fax:** (772) 800-3067

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251C00000X | Developmentally Disabled Services Day Training Agency | — | NULL | — |
| 251E00000X | Home Health Agency | — | NULL | Yes |
| 251J00000X | Nursing Care Agency | — | NULL | — |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | — |
| 347C00000X | Private Vehicle | — | NULL | — |
| 385H00000X | Respite Care | — | NULL | — |
| 385HR2060X | Child Intellectual and/or Developmental Disabilities Respite Care | — | NULL | — |
| 385HR2065X | Child Physical Disabilities Respite Care | — | NULL | — |

## Other

- **Enumeration date:** 08/20/2019
- **Last updated:** 03/01/2022