Organization
COMMUNITY AGING & RETIREMENT SERVICES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM AYCRIGG (CHIEF EXECUTIVE OFFICER)
(727) 862-9291
Entity
Organization
Contact information
Practice address
4102 W SPRUCE ST, TAMPA, FL 33607-2331
(813) 644-5990
(813) 644-5903
Mailing address
12417 CLOCK TOWER PKWY, HUDSON, FL 34667-2411
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
8953
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
099897404
—
FL
Enumeration date
09/05/2014
Last updated
09/18/2014
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