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1265911531
COUNTYLINE SUPPORT SERVICES CORP
PEMBROKE PINES, FL
NPI
1265911531
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Entity Type
Organization
Authorized Contact
MAUVA ANGELA MUNFORD
Owner
954-632-9891
Organization Subpart ?
No
Primary Taxonomy
261QD1600X Clinic/Center Developmental Disabilities
Enumeration Date
2018-08-08
Last Update Date
2018-08-08
Business Address
COUNTYLINE SUPPORT SERVICES CORP
2114 N FLAMINGO RD # 166
PEMBROKE PINES, FL 33028-3501
Phone number: 954-632-9891
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Mailing Address
COUNTYLINE SUPPORT SERVICES CORP
2114 N FLAMINGO RD # 166
PEMBROKE PINES, FL 33028-3501
Phone number: 954-632-9891
Copy
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