Organization
COMMUNITY BASED CARE OF SEMINOLE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GLEN CASEL (CEO)
(407) 333-8256
Entity
Organization
Contact information
Practice address
117 LAKE MARY BLVD, SANFORD, FL 32773
(407) 333-8256
(407) 333-8269
Mailing address
117 LAKE MARY BLVD, SANFORD, FL 32773
(407) 333-8256
(407) 333-8269
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
07-1072-000-06
FL
Other
Enumeration date
05/04/2007
Last updated
06/13/2008
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