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Organization

CUMBERLAND VILLAGE AT HOME

Active
Organization subpart
No

Provider details

NPI number
Authorized official
THOMAS MICHAEL RABOLD JR. (PRESIDENT)
(954) 496-0387
Entity
Organization

Contact information

Practice address
3335 WISE CREEK LN, AIKEN, SC 29801-2509
(954) 496-0387
Mailing address
5711 BAYVIEW DR, FORT LAUDERDALE, FL 33308-2830
(954) 496-0387

Taxonomy

Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary

Other

Enumeration date
02/24/2025
Last updated
02/24/2025
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