Organization
MERRICARE COMMUNITY INTEGRATED SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MIRON EBANKS (PRESIDENT)
(561) 899-8602
Entity
Organization
Contact information
Practice address
207 PALM BEACH PLANTATION BLVD, ROYAL PALM BEACH, FL 33411-4558
(561) 899-8602
Mailing address
207 PALM BEACH PLANTATION BLVD, ROYAL PALM BEACH, FL 33411-4558
(561) 899-8602
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
—
251B00000X
Case Management Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
261QD1600X
Developmental Disabilities Clinic/Center
Primary
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
—
—
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
—
—
Other
Enumeration date
07/23/2016
Last updated
07/23/2016
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