MEDICARE: FLORIDA COMMUNITY HELP 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

General Provider Information

NPI Number	:	1093351389
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FLORIDA COMMUNITY HELP INC

Provider Business Mailing Address
First Line	:	4431 EMBARCADERO DR # 103
Second Line	:
City	:	WEST PALM BEACH
State	:	FL
Zip	:	33407-3297
Country	:	US
Telephone Number	:	786-975-6241
Fax Number	:

Provider Business Practice Location Address
First Line	:	4431 EMBARCADERO DR # 103
Second Line	:
City	:	WEST PALM BEACH
State	:	FL
Zip	:	33407-3297
Country	:	US
Telephone Number	:	786-975-6241
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	ROILAND GOENAGA
Credential	:
Telephone Number	:	786-975-6241

Provider Enumeration Date	:	11/21/2019
Last Update Date	:	11/21/2019

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Directions to “FLORIDA COMMUNITY HELP INC ” Practice Location

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