Organization
SENIOR COMMUNITY BASED SERVICES CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MANUEL FERNANDEZ CUERVO (CEO)
(786) 701-6007
Entity
Organization
Contact information
Practice address
1840 W 49TH ST STE 311, APT 103, HIALEAH, FL 33012-2978
(786) 970-8480
Mailing address
1840 W 49TH ST STE 311, APT 103, HIALEAH, FL 33012-2978
(786) 970-8480
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
234592
FL
253Z00000X
In Home Supportive Care Agency
Primary
234592
FL
385H00000X
Respite Care
234592
FL
Other
Enumeration date
10/10/2016
Last updated
10/21/2016
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