Organization
REF NURSE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROSA L ESTELA FLINT RN, LCSW (OWNER)
(321) 289-2818
Entity
Organization
Contact information
Practice address
605 S PALM AVE, TITUSVILLE, FL 32796-7600
(321) 289-2818
Mailing address
1317 INDIAN RIVER AVE, TITUSVILLE, FL 32780-4220
(321) 289-2818
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
RN 893792
FL
251S00000X
Community/Behavioral Health Agency
Primary
SW 6112
FL
Other
Enumeration date
01/18/2017
Last updated
01/18/2017
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