Organization
CAROLINA CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY GEORRGES (MANAGER)
(321) 449-9639
Entity
Organization
Contact information
Practice address
2460 KATHI KIM ST, COCOA, FL 32926-5372
(332) 144-9963
Mailing address
PO BOX 541421, MERRITT ISLAND, FL 32954-1421
(321) 449-9639
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL10753
FL
Other
Enumeration date
03/29/2013
Last updated
03/29/2013
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