Organization
SPECIALTY CARE SERVICES INC
Active
Other names
Specialty Care Services Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
MR. EDWARD JEROME PORTER RN (ADMINISTRATOR)
(352) 258-4015
Entity
Organization
Contact information
Practice address
2925 NW 4TH AVE, OCALA, FL 34475-2645
(352) 258-4015
(215) 559-6336
Mailing address
2925 NW 4TH AVE, OCALA, FL 34475-2645
(352) 258-4015
(215) 559-6336
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
016981800
—
FL
Enumeration date
09/25/2018
Last updated
09/25/2018
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