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Organization
FLORADEMA LLC
Active
Organization
FLORADEMA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FAITH B BAUTISTA (CEO)
(310) 351-0857
Entity
Organization
Contact information
Practice address
4265 MARINA CITY DR UNIT 1011, MARINA DEL REY, CA 90292-5801
(310) 351-0857
Mailing address
4265 MARINA CITY DR UNIT 1011, MARINA DEL REY, CA 90292-5801
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
NULL
101YM0800X
Mental Health Counselor
—
—
101YP1600X
Pastoral Counselor
—
NULL
101YP1600X
Pastoral Counselor
—
—
171M00000X
Case Manager/Care Coordinator
—
NULL
171M00000X
Case Manager/Care Coordinator
—
—
177F00000X
Lodging Provider
—
NULL
208000000X
Pediatrics Physician
—
NULL
208000000X
Pediatrics Physician
—
—
251K00000X
Public Health or Welfare Agency
Primary
—
NULL
251S00000X
Community/Behavioral Health Agency
—
NULL
251V00000X
Voluntary or Charitable Agency
—
NULL
373H00000X
Day Training/Habilitation Specialist
—
NULL
373H00000X
Day Training/Habilitation Specialist
—
—
374U00000X
Home Health Aide
—
NULL
374U00000X
Home Health Aide
—
—
385H00000X
Respite Care
—
NULL
Other
Enumeration date
08/12/2025
Last updated
08/12/2025
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