Organization
SENC DIRECT CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CEDRIC CRAY (MANAGER)
(786) 953-2521
Entity
Organization
Contact information
Practice address
663 SE BAYA, LAKE CITY, FL 32055
(786) 953-2521
Mailing address
747 NW BRADY CIR, LAKE CITY, FL 32055-6143
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
—
—
Other
Enumeration date
06/10/2010
Last updated
06/10/2010
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