Organization
FLORIDA SENIOR CARE SERVICES, LLC
Active
Organization
FLORIDA SENIOR CARE SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JERRY LLOYD TACKETT M.ED., BA, BS, AAMS. (VP BUSINESS DEVELOPMENT)
(772) 559-8673
Entity
Organization
Contact information
Practice address
5910 CARRIAGE LAKE CT, VERO BEACH, FL 32968-9476
(772) 559-8673
(772) 564-8719
Mailing address
PO BOX 691114, VERO BEACH, FL 32969-1114
(772) 559-8673
(772) 564-8719
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
SW6243
FL
251E00000X
Home Health Agency
SW6243
FL
251S00000X
Community/Behavioral Health Agency
Primary
SW6243
FL
Other
Enumeration date
01/14/2008
Last updated
01/14/2008
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