Organization
COMMUNITY BASED SERVICES AND CONSULTING GROUP INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RICK DEXTER STANDRIDGE (EXECUTIVE DIRECTOR OWNER)
(352) 465-3551
Entity
Organization
Contact information
Practice address
12948 SW 62ND STREET RD, OCALA, FL 34481-3459
(352) 465-3551
(352) 465-3549
Mailing address
PO BOX 1108, DUNNELLON, FL 34430-1108
(352) 465-3551
(352) 465-3549
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
686171796
—
FL
Enumeration date
06/23/2008
Last updated
06/23/2008
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