Organization
YACNOREV COMMUNITY SERVICES LLC
Active
Other names
yacnorev community services
Organization subpart
No
Provider details
NPI number
Authorized official
VERONICA BUNBURY (MANAGER/OWNER)
(407) 558-5058
Entity
Organization
Contact information
Practice address
750 S ORANGE BLOSSOM TRL STE 119, ORLANDO, FL 32805-3154
(407) 558-5058
(844) 246-6240
Mailing address
750 S ORANGE BLOSSOM TRL STE 119, ORLANDO, FL 32805-3154
(407) 558-5058
(844) 246-6240
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1720325186
—
FL
Enumeration date
02/21/2018
Last updated
02/21/2018
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