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Organization

SPECIALTY CARE SERVICES INC

Active
Parent organization
SPECIALTY CARE SERVICES INC
Other names
Specialty Care Services
Organization subpart
Yes

Provider details

NPI number
Legal business name
SPECIALTY CARE SERVICES INC
Authorized official
EDWARD JEROME PORTER RN (DIRECTOR)
(352) 258-4015
Entity
Organization

Contact information

Practice address
701 SE 43RD ST, GAINESVILLE, FL 32641-7665
(352) 209-2431
(215) 559-6336
Mailing address
PO BOX 483, OCALA, FL 34478-0483
(352) 258-4015
(215) 559-6336

Taxonomy

Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
016981800
FL
Enumeration date
01/30/2019
Last updated
01/30/2019
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