| Life Support Community Service Inc | |
|
782 Nw 42nd Ave Ste 348 Miami FL 33126-5550 | |
| (305) 690-2148 | |
| Not Available |
| Full Name | Life Support Community Service Inc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 782 Nw 42nd Ave Ste 348, Miami, Florida |
| Authorized Official Name and Position | Manuel Diaz Abreu (OWNER/PRESIDENT) |
| Authorized Official Contact | 3056902148 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Life Support Community Service Inc 782 Nw 42nd Ave Ste 348 Miami FL 33126-5550 Ph: (305) 690-2148 | Life Support Community Service Inc 782 Nw 42nd Ave Ste 348 Miami FL 33126-5550 Ph: (305) 690-2148 |
| NPI Number | 1295383032 |
|---|---|
| Provider Enumeration Date | 08/26/2019 |
| Last Update Date | 08/26/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295383032 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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