Organization
BRE'S COMMUNITY CARE SERVICES INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DOMINIQUE D JOHNSON (OWNER)
(407) 504-0189
Entity
Organization
Contact information
Practice address
235 E 5TH ST STE 4, APOPKA, FL 32703-5315
(407) 504-0189
(321) 256-6451
Mailing address
235 E 5TH ST STE 4, APOPKA, FL 32703-5315
(407) 504-0189
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
253Z00000X
In Home Supportive Care Agency
—
—
372500000X
Chore Provider
—
—
372600000X
Adult Companion
—
—
374U00000X
Home Health Aide
—
—
376J00000X
Homemaker
—
—
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
—
—
385HR2065X
Child Physical Disabilities Respite Care
—
—
Other
Enumeration date
01/10/2022
Last updated
01/10/2022
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