Organization
C & S GERIATRIC SERVICE INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISSET C SUAREZ (OWNER)
(786) 234-6095
Entity
Organization
Contact information
Practice address
15160 SW 136TH ST UNIT 17, MIAMI, FL 33196-2665
(786) 234-6095
(305) 400-1017
Mailing address
15160 SW 136TH ST UNIT 17, MIAMI, FL 33196-2665
(786) 234-6095
(305) 400-1017
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
30212738
AHCA
FL
Enumeration date
05/08/2024
Last updated
05/08/2024
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