Organization
EMBRACE COMMUNITY CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KASSANDRA BRYAN (CEO)
(352) 727-9304
Entity
Organization
Contact information
Practice address
260 SW FAIRWAY DR, KEYSTONE HEIGHTS, FL 32656-9506
(352) 727-9304
Mailing address
260 SW FAIRWAY DR, KEYSTONE HEIGHTS, FL 32656-9506
(352) 727-9304
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
FL
253Z00000X
In Home Supportive Care Agency
—
FL
261QC1500X
Community Health Clinic/Center
—
FL
261QX0100X
Occupational Medicine Clinic/Center
—
FL
Other
Enumeration date
06/22/2017
Last updated
07/21/2022
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