Organization
FAMILY ASSISTANCE AND CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SANDRA VILLAVICENCIO (CEO)
(305) 794-4739
Entity
Organization
Contact information
Practice address
2245 W 74TH TER, HIALEAH, FL 33016-6864
(305) 794-4739
Mailing address
2245 W 74TH TER, HIALEAH, FL 33016-6864
Taxonomy
Speciality
Code
Description
License number
State
261QD1600X
Developmental Disabilities Clinic/Center
Primary
—
—
Other
Enumeration date
07/27/2021
Last updated
07/27/2021
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