Organization
ZVG SUPPORT SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MARTHA MENESES GONZALEZ WSC (DIRECTOR)
(305) 968-1337
Entity
Organization
Contact information
Practice address
4001 SW 144TH PL, MIAMI, FL 33175-7844
(305) 968-1337
(305) 226-7016
Mailing address
4001 SW 144TH PL, MIAMI, FL 33175-7844
(305) 968-1337
(305) 226-7016
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
684706496
HOME COMMUNITY BASES SERVICES DD
FL
01
—
684706498
HOME COMMUNITY BASED SEVICES FSL
FL
Enumeration date
06/02/2008
Last updated
06/02/2008
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