Organization
I CARE DOMETIC VIOLENCE AGAINST MEN INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TERRANCE MOORE (CEO)
(954) 700-9837
Entity
Organization
Contact information
Practice address
13080 SW 248TH ST, HOMESTEAD, FL 33032-5706
(954) 770-9837
Mailing address
24601 SW 137TH DAY AVE, HOMESTEAD, FL 33032
(954) 700-9837
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
07/09/2020
Last updated
07/09/2020
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