MEDICARE: CARING HANDS WELLNESS CENTER, INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QR0405X	Substance Use Disorder Rehabilitation Clinic/Center
2	261QM0850X	Adult Mental Health Clinic/Center

General Provider Information

NPI Number	:	1558908517
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CARING HANDS WELLNESS CENTER, INC

Provider Business Mailing Address
First Line	:	3601 W COMMERCIAL BLVD STE 22
Second Line	:
City	:	FORT LAUDERDALE
State	:	FL
Zip	:	33309-3320
Country	:	US
Telephone Number	:	888-297-3622
Fax Number	:

Provider Business Practice Location Address
First Line	:	3601 W COMMERCIAL BLVD STE 22
Second Line	:
City	:	FORT LAUDERDALE
State	:	FL
Zip	:	33309-3320
Country	:	US
Telephone Number	:	888-297-3622
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	MRS. IVALUZ ARRIETA
Credential	:
Telephone Number	:	305-300-8924

Provider Enumeration Date	:	12/09/2019
Last Update Date	:	12/09/2019

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