Provider Demographics
NPI:1043524390
Name:COMMUNICARE THERAPIES, INC.
Entity Type:Organization
Organization Name:COMMUNICARE THERAPIES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:LINDA
Authorized Official - Middle Name:
Authorized Official - Last Name:DAVIDSON
Authorized Official - Suffix:
Authorized Official - Credentials:MA
Authorized Official - Phone:352-359-4356
Mailing Address - Street 1:12921 SW 1ST RD
Mailing Address - Street 2:SUITE 107 BOX217
Mailing Address - City:JONESVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32669-5708
Mailing Address - Country:US
Mailing Address - Phone:352-359-4356
Mailing Address - Fax:
Practice Address - Street 1:11101 NW 12TH PL
Practice Address - Street 2:
Practice Address - City:GAINESVILLE
Practice Address - State:FL
Practice Address - Zip Code:32606-5461
Practice Address - Country:US
Practice Address - Phone:352-359-4356
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-07-28
Last Update Date:2010-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty