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Organization

CORE TRANSITIONAL LIVING COMMUNITIES LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JACK BROWN (CEO)
(718) 791-3460
Entity
Organization

Contact information

Practice address
6863 NW 2ND AVE, MIAMI, FL 33150-4071
(718) 791-3460
Mailing address
6863 NW 2ND AVE, MIAMI, FL 33150-4071
(718) 791-3460

Taxonomy

Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary

Other

Enumeration date
02/24/2022
Last updated
02/24/2022
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