Organization
MY COMMUNITY CARES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JARVIS MARLO WASH (PRESIDENT)
(321) 795-8419
Entity
Organization
Contact information
Practice address
1555 N COCOA BLVD, COCOA, FL 32922-6933
(321) 821-3055
(321) 821-3055
Mailing address
1555 N COCOA BLVD, COCOA, FL 32922-6933
(321) 821-3055
(321) 821-3055
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
03/17/2015
Last updated
03/17/2015
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