Organization
CERTIFIED CARE SOURCES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RENEE MCKINNEY (PRESIDENT)
(727) 600-9193
Entity
Organization
Contact information
Practice address
7901 4TH ST N STE 101, ST PETERSBURG, FL 33702-4359
(727) 600-9193
(727) 225-9558
Mailing address
7901 4TH ST N STE 101, ST PETERSBURG, FL 33702-4359
(727) 600-9193
Taxonomy
Speciality
Code
Description
License number
State
385H00000X
Respite Care
Primary
—
—
Other
Enumeration date
03/11/2019
Last updated
03/11/2019
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