| Core Care Group Home Llc | |
|
111 2nd Ave Ne Ste 360 St Petersburg FL 33701-3580 | |
| (772) 971-1850 | |
| Not Available |
| Full Name | Core Care Group Home Llc |
|---|---|
| Speciality | Clinic/center |
| Location | 111 2nd Ave Ne Ste 360, St Petersburg, Florida |
| Authorized Official Name and Position | Dhruv Patel (PRESIDENT) |
| Authorized Official Contact | 7729711850 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Core Care Group Home Llc 111 2nd Ave Ne Ste 360 St Petersburg FL 33701-3580 Ph: (772) 971-1850 | Core Care Group Home Llc 111 2nd Ave Ne Ste 360 St Petersburg FL 33701-3580 Ph: (772) 971-1850 |
| NPI Number | 1508585159 |
|---|---|
| Provider Enumeration Date | 08/25/2022 |
| Last Update Date | 08/25/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508585159 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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