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Organization

FIRST CARE ASSISTANCE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. IVETTE CAMARA (PRESIDENT)
(813) 401-4756
Entity
Organization

Contact information

Practice address
828 PINEBERRY DR, APT. #101, BRANDON, FL 33510-4922
(813) 401-4756
(813) 662-4599
Mailing address
828 PINEBERRY DR, APT. #101, BRANDON, FL 33510-4922
(813) 401-4756
(813) 662-4599

Taxonomy

Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
229476
FL
347C00000X
Private Vehicle
229476
FL
385H00000X
Respite Care
Primary
229476
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
691141296
FL
05
691141298
FL
Enumeration date
11/19/2008
Last updated
11/19/2008
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