South Central Care Provider LLC
NPI #1255197737 in Winter Haven, Florida
Provider Information
- NPI Number
- 1255197737
- Entity Type
- Organization
- Organization Name
- South Central Care Provider LLC
- Primary Specialty
- Clinic/Center - Developmental Disabilities
- Enumeration Date
- Feb 22, 2024
- Last Updated
- Feb 22, 2024
Practice Location
- Address
- 2797 RECKER HWY
- City
- Winter Haven
- State
- Florida
- ZIP Code
- 33880-1940
- Phone
- (954) 805-5488
Authorized Official
- Name
- DIAMOND BELLE
- Title
- QWNER
- Phone
- (954) 805-5488
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Developmental Disabilities — Developmental Disabilities |
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| MRS. Shakiera Groover | |
| Carol Latrice Lippett, RBT | |
| Jamesas Williams, RN | |
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| Positive Support Service |
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