| Community Life Support,inc | |
|
486 Fisherman St Opa Locka FL 33054-3818 | |
| (305) 688-5456 | |
| (305) 688-1661 |
| Full Name | Community Life Support,inc |
|---|---|
| Speciality | Clinic/center |
| Location | 486 Fisherman St, Opa Locka, Florida |
| Authorized Official Name and Position | Yadira I Munoz (MANAGER) |
| Authorized Official Contact | 3055057518 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Community Life Support,inc 486 Fisherman St Opa Locka FL 33054-3818 Ph: (305) 688-5456 | Community Life Support,inc 486 Fisherman St Opa Locka FL 33054-3818 Ph: (305) 688-5456 |
| NPI Number | 1093521908 |
|---|---|
| Provider Enumeration Date | 12/05/2024 |
| Last Update Date | 12/05/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093521908 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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