Healthcare Provider Details
I. General information
NPI: 1912480393
Provider Name (Legal Business Name): ELDER CARE SERVICES INC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 09/11/2018
Last Update Date: 12/16/2024
Certification Date: 12/16/2024
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1660 N MONROE ST STE 11
TALLAHASSEE FL
32303-5558
US
IV. Provider business mailing address
2518 W TENNESSEE ST
TALLAHASSEE FL
32304-2506
US
V. Phone/Fax
- Phone: 850-222-4208
- Fax: 850-222-0330
- Phone: 850-245-5925
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QA0600X |
| Taxonomy | Adult Day Care Clinic/Center |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
JOCELYNE
FLIGER
Title or Position: PRESIDENT & CEO
Credential:
Phone: 850-245-5930