# SENIOR COMMUNITY BASED SERVICES CORP

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1679023147
- **Authorized official:** MANUEL FERNANDEZ CUERVO (CEO)
- **Authorized official phone:** (786) 701-6007

## Contact information

- **Practice address:** 1840 W 49TH ST STE 311, APT 103, HIALEAH, FL 33012-2978
- **Practice address phone:** (786) 970-8480
- **Mailing address:** 1840 W 49TH ST STE 311, APT 103, HIALEAH, FL 33012-2978
- **Mailing address phone:** (786) 970-8480

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251C00000X | Developmentally Disabled Services Day Training Agency | 234592 | FL | — |
| 253Z00000X | In Home Supportive Care Agency | 234592 | FL | Yes |
| 385H00000X | Respite Care | 234592 | FL | — |

## Other

- **Enumeration date:** 10/10/2016
- **Last updated:** 10/21/2016