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Organization
SPECTRUM LIFE CARE SERVICES INC
Active
Organization
SPECTRUM LIFE CARE SERVICES INC
Active
Other names
SPECTRUM LIFE CARE
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH CIAVARELLA SR. (PRESIDENT)
(954) 499-5794
Entity
Organization
Contact information
Practice address
12260 SW 53RD ST STE 611, COOPER CITY, FL 33330-3320
(954) 499-5794
(954) 309-1520
Mailing address
12260 SW 53RD ST STE 611, COOPER CITY, FL 33330-3320
(954) 499-5794
(954) 252-4844
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
228629
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
681078196
—
FL
05
—
681078198
—
FL
Enumeration date
04/06/2007
Last updated
09/08/2020
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