Organization
CORE SUPPORT INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. COREY MARSHALL (CEO)
(305) 989-1483
Entity
Organization
Contact information
Practice address
9045 SW 213TH ST, CUTLER BAY, FL 33189-3831
(305) 989-1483
Mailing address
17400 SW 97TH AVE STE 115, PALMETTO BAY, FL 33157-5420
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
229911
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
686665496
—
FL
05
—
686665498
—
FL
Enumeration date
09/20/2010
Last updated
09/30/2010
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