Healthcare Provider Details

I. General information

NPI: 1821347444
Provider Name (Legal Business Name): GUIDENCE CARE CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/29/2012
Last Update Date: 08/29/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3000 41ST STREET OCEAN
MARATHON FL
33050
US

IV. Provider business mailing address

3000 41ST STREET OCEAN
MARATHON FL
33050
US

V. Phone/Fax

Practice location:
  • Phone: 305-434-7660
  • Fax: 305-434-9041
Mailing address:
  • Phone: 305-434-7660
  • Fax: 305-434-9041

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License NumberRN3046362
License Number StateFL

VIII. Authorized Official

Name: MS. CINDEE SUE BOWEN
Title or Position: RN
Credential: RN
Phone: 305-434-7660