| Hillendale Cares Llc | |
|
27357 Frampton Ave Brooksville FL 34602-7306 | |
| (352) 345-4698 | |
| Not Available |
| Full Name | Hillendale Cares Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 27357 Frampton Ave, Brooksville, Florida |
| Authorized Official Name and Position | Robert M Roth (ADMINISTRATOR) |
| Authorized Official Contact | 3523454698 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Hillendale Cares Llc 27357 Frampton Ave Brooksville FL 34602-7306 Ph: (352) 345-4698 | Hillendale Cares Llc 27357 Frampton Ave Brooksville FL 34602-7306 Ph: (352) 345-4698 |
| NPI Number | 1902579303 |
|---|---|
| Provider Enumeration Date | 07/30/2021 |
| Last Update Date | 07/30/2021 |
| Certification Date | 11/02/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902579303 | NPI | - | NPPES |
| 109683100 | Medicaid | FL | |
| 101372900 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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