Organization
COMMUNITY BASED THERAPY SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHANDRA BROOKS-WEST (OWNER)
(813) 713-1803
Entity
Organization
Contact information
Practice address
10142 ROSE RD, TALLAHASSEE, FL 32311-9353
(813) 713-1803
Mailing address
10142 ROSE RD, TALLAHASSEE, FL 32311-9353
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
020447600
—
FL
Enumeration date
12/19/2017
Last updated
12/19/2017
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