Organization
CICILY HEALTH CARE SERVICES
Active
Other names
Cicily Cares
Organization subpart
No
Provider details
NPI number
Authorized official
CAROL TAYLOR-MOORE (CEO)
(772) 446-4510
Entity
Organization
Contact information
Practice address
2658 SW BRIGANTINE PL, PORT ST LUCIE, FL 34953-4319
(772) 446-4510
(772) 902-8277
Mailing address
2658 SW BRIGANTINE PL, PORT ST LUCIE, FL 34953-4319
(772) 446-4510
(772) 800-3067
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
251E00000X
Home Health Agency
Primary
—
—
251J00000X
Nursing Care Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
347C00000X
Private Vehicle
—
—
385H00000X
Respite Care
—
—
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
—
—
385HR2065X
Child Physical Disabilities Respite Care
—
—
Other
Enumeration date
08/20/2019
Last updated
03/01/2022
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