Organization
LIFE SUPPORT COMMUNITY SERVICE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MANUEL DIAZ ABREU (OWNER/PRESIDENT)
(305) 690-2148
Entity
Organization
Contact information
Practice address
782 NW 42ND AVE STE 348, MIAMI, FL 33126-5550
(305) 690-2148
Mailing address
782 NW 42ND AVE STE 348, MIAMI, FL 33126-5550
(305) 690-2148
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
08/26/2019
Last updated
08/26/2019
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