MEDICARE: PEACE OF MIND CARE SYSTEM 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	251B00000X	Case Management Agency
2	251S00000X	Community/Behavioral Health Agency

General Provider Information

NPI Number	:	1881305977
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PEACE OF MIND CARE SYSTEM INC

Provider Business Mailing Address
First Line	:	10383 SW 186TH ST UNIT 2K
Second Line	:
City	:	CUTLER BAY
State	:	FL
Zip	:	33157-6824
Country	:	US
Telephone Number	:	305-803-5891
Fax Number	:

Provider Business Practice Location Address
First Line	:	10383 SW 186TH ST UNIT 2K
Second Line	:
City	:	CUTLER BAY
State	:	FL
Zip	:	33157-6824
Country	:	US
Telephone Number	:	305-803-5891
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	DANAY LINO
Credential	:
Telephone Number	:	305-803-5891

Provider Enumeration Date	:	12/08/2022
Last Update Date	:	01/09/2023

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Directions to “PEACE OF MIND CARE SYSTEM INC ” Practice Location

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