Organization
SOUTH CENTRAL CARE PROVIDER LLC
Active
Organization
SOUTH CENTRAL CARE PROVIDER LLC
Active
Other names
South Central Care Provider LLC
Organization subpart
No
Provider details
NPI number
Authorized official
DIAMOND BELLE (QWNER)
(954) 805-5488
Entity
Organization
Contact information
Practice address
2797 RECKER HWY, WINTER HAVEN, FL 33880-1940
(954) 805-5488
Mailing address
2797 RECKER HWY, WINTER HAVEN, FL 33880-1940
(954) 805-5488
Taxonomy
Speciality
Code
Description
License number
State
261QD1600X
Developmental Disabilities Clinic/Center
Primary
—
—
Other
Enumeration date
02/22/2024
Last updated
02/22/2024
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