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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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