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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