Organization
COURAGE LIVING CARE & SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. PHEDETTE COURAGE (CEO)
(305) 910-5460
Entity
Organization
Contact information
Practice address
13020 SW 256TH ST, HOMESTEAD, FL 33032-6925
(305) 910-5460
Mailing address
13020 SW 256TH ST, HOMESTEAD, FL 33032-6925
Taxonomy
Speciality
Code
Description
License number
State
385HR2065X
Child Physical Disabilities Respite Care
Primary
111124GH
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0151263000
—
FL
Enumeration date
12/04/2015
Last updated
12/04/2015
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