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NPI Code Detail

MEDICARE: SISTARS IN HARMONY CASE MANAGEMENT SERVICES

MEDICARE: SISTARS IN HARMONY CASE MANAGEMENT SERVICES
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
1251B00000XCase Management Agency

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1255757068
Entity Type Code : Organization
Provider Name (Legal Business Name) : SISTARS IN HARMONY CASE MANAGEMENT SERVICES
Provider Business Mailing Address
First Line : 1800 PEMBROOK DR STE 300
Second Line :
City : ORLANDO
State : FL
Zip : 32810-6378
Country : US
Telephone Number : 321-960-3626
Fax Number :
Provider Business Practice Location Address
First Line : 1800 PEMBROOK DR STE 300
Second Line :
City : ORLANDO
State : FL
Zip : 32810-6378
Country : US
Telephone Number : 321-960-3626
Fax Number :
Authorized Official
Title or Position : OWNER
Name : LATOYA ETWINDLE KENDRICKTYLER
Credential : BS
Telephone Number : 321-960-3626
Provider Enumeration Date : 03/17/2014
Last Update Date : 03/17/2014

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Directions to “SISTARS IN HARMONY CASE MANAGEMENT SERVICES ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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