Organization
COMMUNITY LIFE SUPPORT,INC
Active
Organization
COMMUNITY LIFE SUPPORT,INC
Active
Other names
COMMUNITY LIFE SUPPORT,INC
Organization subpart
No
Provider details
NPI number
Authorized official
YADIRA I MUNOZ (MANAGER)
(305) 505-7518
Entity
Organization
Contact information
Practice address
486 FISHERMAN ST, OPA LOCKA, FL 33054-3818
(305) 688-5456
(305) 688-1661
Mailing address
486 FISHERMAN ST, OPA LOCKA, FL 33054-3818
(305) 688-5456
(305) 688-1661
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
12/05/2024
Last updated
12/05/2024
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