Organization
INTERDISCIPLINARY HEALTHCARE SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SHELLY-ANN MARIE COMMOCK APRN (OWNER/CEO)
(786) 234-2999
Entity
Organization
Contact information
Practice address
12751 SW 226 STREET, MIAMI, FL 33170
(786) 234-2999
Mailing address
12751 SW 226 STREET, MIAMI, FL 33170
(786) 234-2999
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
—
—
310400000X
Assisted Living Facility
Primary
—
—
3104A0630X
Assisted Living Facility (Behavioral Disturbances)
—
FL
Other
Enumeration date
05/03/2018
Last updated
05/03/2018
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