Organization
SISTARS IN HARMONY CASE MANAGEMENT SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LATOYA ETWINDLE KENDRICKTYLER BS (OWNER)
(321) 960-3626
Entity
Organization
Contact information
Practice address
1800 PEMBROOK DR STE 300, ORLANDO, FL 32810-6378
(321) 960-3626
Mailing address
1800 PEMBROOK DR STE 300, ORLANDO, FL 32810-6378
(321) 960-3626
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0088999
—
FL
Enumeration date
03/17/2014
Last updated
03/17/2014
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