Organization
INDEPENDENT LIVING COMMUNITY SERVICES INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. NESTOR J PLANA (CHAIRMAN)
(305) 262-1292
Entity
Organization
Contact information
Practice address
4601 NW 77TH AVE, MIAMI, FL 33166-6449
(305) 262-1292
(305) 675-7825
Mailing address
4601 NW 77TH AVE, MIAMI, FL 33166-6449
(305) 262-1292
(305) 675-7825
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
08/10/2007
Last updated
08/28/2020
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