Organization
HEART & LIFE COMMUNITY CENTER INC
Active
Other names
Heart & Life Community Center Inc
Organization subpart
No
Provider details
NPI number
Authorized official
CARMEN GUZMAN CCMS (OFFICE MANAGER)
(407) 730-5306
Entity
Organization
Contact information
Practice address
309 NE 1ST ST STE B, GAINESVILLE, FL 32601-5310
(407) 730-5306
(407) 730-5305
Mailing address
801 N MAGNOLIA AVE STE 201, ORLANDO, FL 32803-3842
(407) 730-5306
(407) 730-5305
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
109829400
—
FL
Enumeration date
09/22/2021
Last updated
09/22/2021
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