Organization
MCCOY CARE INC.
Active
Other names
McCoy Adult Day Care
Organization subpart
No
Provider details
NPI number
Authorized official
CASEY MCCOY (PRESIDENT)
(352) 551-4322
Entity
Organization
Contact information
Practice address
120 E 20TH AVE, MOUNT DORA, FL 32757-2869
(352) 383-9770
(352) 735-1545
Mailing address
120 E 20TH AVE, MOUNT DORA, FL 32757-2869
(352) 383-9770
(352) 735-1545
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
9069
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000972000
—
FL
Enumeration date
07/20/2012
Last updated
07/20/2012
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