Organization
CCC HOME CARE SUPPORT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARIA A ROMERO (ADMINISTRATOR)
(786) 267-0437
Entity
Organization
Contact information
Practice address
1031 IVES DAIRY RD STE 228, MIAMI, FL 33179-2538
(786) 267-0437
(305) 680-0437
Mailing address
1031 IVES DAIRY RD STE 228, MIAMI, FL 33179-2538
(786) 267-0437
(305) 680-0437
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
08/12/2021
Last updated
08/12/2021
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