Organization
CHARISMATIC RELENTLESS CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CYNTHIA COLLINS (OWNER)
(772) 528-0358
Entity
Organization
Contact information
Practice address
5933 NW BRENDA CIR, PORT SAINT LUCIE, FL 34986-3637
(772) 528-0393
Mailing address
PO BOX 7191, PORT SAINT LUCIE, FL 34985-7191
(772) 528-0358
Taxonomy
Speciality
Code
Description
License number
State
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
Primary
—
—
Other
Enumeration date
09/23/2020
Last updated
09/23/2020
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