| Ross Dynasty Cares | |
|
462 E Cowboy Way Ste 1 Labelle FL 33935-4445 | |
| (863) 674-1771 | |
| (863) 674-1771 |
| Full Name | Ross Dynasty Cares |
|---|---|
| Speciality | Respite Care - Respite Care, Intellectual And/or Developmental Disabilities, Child |
| Location | 462 E Cowboy Way Ste 1, Labelle, Florida |
| Authorized Official Name and Position | Kimberly Raynette Ross (CEO) |
| Authorized Official Contact | 8636741771 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ross Dynasty Cares Po Box 621 Labelle FL 33975-0621 Ph: (863) 674-1771 | Ross Dynasty Cares 462 E Cowboy Way Ste 1 Labelle FL 33935-4445 Ph: (863) 674-1771 |
| NPI Number | 1962994582 |
|---|---|
| Provider Enumeration Date | 05/30/2018 |
| Last Update Date | 01/17/2023 |
| Certification Date | 01/17/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962994582 | NPI | - | NPPES |
| 107840700 | Medicaid | FL | |
| 107272300 | Medicaid | FL | |
| 0234408300 | Medicaid | FL |
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