Organization
CARTERS HEALTHCARE PROFESSIONALS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JAZMINE CARTER (OWNER)
(386) 675-9151
Entity
Organization
Contact information
Practice address
187 LIVE OAK AVE, ORMOND BEACH, FL 32174-6327
(386) 675-9151
Mailing address
187 LIVE OAK AVE, ORMOND BEACH, FL 32174-6327
(386) 675-9151
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
108316700
—
FL
Enumeration date
12/21/2020
Last updated
12/21/2020
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