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Organization
SPECIAL LIVE SUPPORT.INC
Active
Organization
SPECIAL LIVE SUPPORT.INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YANET CAMACHO (PRESIDENT)
(305) 646-0119
Entity
Organization
Contact information
Practice address
525 NW 27TH AVE STE 201, MIAMI, FL 33125-3038
(305) 646-0119
(305) 646-0121
Mailing address
525 NW 27TH AVE STE 201, MIAMI, FL 33125-3038
(305) 646-0119
(305) 646-0121
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
04/09/2007
Last updated
08/22/2020
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