Organization
ACV COMMUNITY SERVICES, LLC
Active
Other names
Village Rehab Center
Organization subpart
No
Provider details
NPI number
Authorized official
CRAIG A. CARTER (PRESIDENT/CEO)
(386) 658-5500
Entity
Organization
Contact information
Practice address
10820 MARVIN E. JONES BLVD, LIVE OAK, FL 32060
(386) 658-5865
(386) 658-5542
Mailing address
PO BOX 4675, DOWLING PARK, FL 32064-1507
(386) 658-5450
(386) 658-5111
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
—
—
225100000X
Physical Therapist
Primary
—
—
225200000X
Physical Therapy Assistant
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
891870800
—
FL
01
—
Y923Y
BCBS
—
Enumeration date
12/15/2006
Last updated
10/08/2008
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