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Organization

SPECIAL CARE SERVICES

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. ROSE ANN CAMPELLONE (ADMINISTRATOR)
(772) 216-8053
Entity
Organization

Contact information

Practice address
5100 SEAGRAPE DR, FORT PIERCE, FL 34982-7458
(772) 216-8053
Mailing address
5100 SEAGRAPE DR, FORT PIERCE, FL 34982-7458
(772) 216-8053

Taxonomy

Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
253Z00000X
In Home Supportive Care Agency
Primary
232737
FL

Other

Enumeration date
01/21/2014
Last updated
01/21/2014
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