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NPI Code Detail

MEDICARE: CITRUS COUNTY ASSOCIATION FOR RETARDED CITIZENS, INC.

MEDICARE: CITRUS COUNTY ASSOCIATION FOR RETARDED CITIZENS, 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
1261QA0600XAdult Day Care Clinic/Center
2310400000XAssisted Living Facility

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
6MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1902995681
Entity Type Code : Organization
Provider Name (Legal Business Name) : CITRUS COUNTY ASSOCIATION FOR RETARDED CITIZENS, INC.
Provider Business Mailing Address
First Line : 130 HEIGHTS AVE
Second Line :
City : INVERNESS
State : FL
Zip : 34452-4571
Country : US
Telephone Number : 352-341-4633
Fax Number : 352-341-4656
Provider Business Practice Location Address
First Line : 130 HEIGHTS AVE
Second Line :
City : INVERNESS
State : FL
Zip : 34452-4571
Country : US
Telephone Number : 352-341-4633
Fax Number : 352-341-4656
Authorized Official
Title or Position : ACCOUNTANT
Name : HEATHER SMITH
Credential :
Telephone Number : 352-795-5541
Provider Enumeration Date : 10/12/2006
Last Update Date : 01/11/2024

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