Organization
ADVANCED COMPREHENSIVE ELDERLY CARE SERVICES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CAROL A ROTH LCSW (PRESIDENT)
(813) 389-9563
Entity
Organization
Contact information
Practice address
4102 W LINEBAUGH AVE, TAMPA, FL 33624-5296
(813) 389-9563
(352) 588-3699
Mailing address
PO BOX 845, SAN ANTONIO, FL 33576-0845
(813) 389-9563
(352) 588-3699
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
SW 3024
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
K7448
GROUP NUMBER
FL
Enumeration date
01/10/2008
Last updated
09/07/2008
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