CLUB COMMUNITY CARE LLC

LAKE CITY, FL
NPI1982200382
Entity TypeOrganization
Authorized ContactDAMARY DIAZ HERNANDEZ
President
786-497-1134
Organization Subpart ?No
Primary Taxonomy251S00000X 
Additional Taxonomies251B00000X Case Management
Enumeration Date2020-12-10
Last Update Date2020-12-10
Business Address
CLUB COMMUNITY CARE LLC
164 NW MADISON ST
LAKE CITY, FL 32055-3904
Phone number: 786-587-9814
Mailing Address
CLUB COMMUNITY CARE LLC
164 NW MADISON ST
LAKE CITY, FL 32055-3904
Phone number: 786-587-9814