NPI 1003374844

Certified Care Sources INC

Organisation Respite Care St Petersburg, FL

Practice location

Address: 7901 4th St N STE 101, St Petersburg, FL 33702-4359
Phone: (727) 600-9193
Fax: (727) 225-9558

Authorised official

Name: Renee McKinney
Title: President
Phone: (727) 600-9193

Registered specialties

Respite Care Primary

Respite Care Facility Taxonomy 385H00000X

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Registry record

NPI: 1003374844
Entity type: Organization
NPI issued: 11 Mar 2019
Record last updated: 11 Mar 2019

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.