Organization
ELDER LIFE MENTAL HEALTH INC
Active
Parent organization
ELDER LIFE MENTAL HEALTH INC
Other names
GUEVARA MEDICAL SERVICES
Organization subpart
Yes
Provider details
NPI number
Legal business name
ELDER LIFE MENTAL HEALTH INC
Authorized official
BETSY GUEVARA RUIZ RBT (PRESIDENT)
(786) 830-4316
Entity
Organization
Contact information
Practice address
18142 SW 97TH AVE, PALMETTO BAY, FL 33157-5501
(786) 830-4316
Mailing address
18142 SW 97TH AVE, PALMETTO BAY, FL 33157-5501
(786) 830-4316
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
261QP2000X
Physical Therapy Clinic/Center
—
—
Other
Enumeration date
08/23/2023
Last updated
08/23/2023
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