# ZVG SUPPORT SERVICES

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

## Provider details

- **NPI number:** 1902065386
- **Authorized official:** MS. MARTHA MENESES GONZALEZ WSC (DIRECTOR)
- **Authorized official phone:** (305) 968-1337

## Contact information

- **Practice address:** 4001 SW 144TH PL, MIAMI, FL 33175-7844
- **Practice address phone:** (305) 968-1337
- **Practice address fax:** (305) 226-7016
- **Mailing address:** 4001 SW 144TH PL, MIAMI, FL 33175-7844
- **Mailing address phone:** (305) 968-1337
- **Mailing address fax:** (305) 226-7016

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251B00000X | Case Management Agency | — | FL | Yes |

## Other

- **Enumeration date:** 06/02/2008
- **Last updated:** 06/02/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 684706496 | HOME COMMUNITY BASES SERVICES DD | FL |
| 01 | — | 684706498 | HOME COMMUNITY BASED SEVICES FSL | FL |
