Provider Demographics
NPI:1497702906
Name:CARE 4 AMERICA INC
Entity Type:Organization
Organization Name:CARE 4 AMERICA INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:JUANA
Authorized Official - Middle Name:MARIA
Authorized Official - Last Name:CARROLL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:352-489-7444
Mailing Address - Street 1:20494 NW 27TH ST
Mailing Address - Street 2:
Mailing Address - City:MORRISTON
Mailing Address - State:FL
Mailing Address - Zip Code:32668-7904
Mailing Address - Country:US
Mailing Address - Phone:352-489-7444
Mailing Address - Fax:352-465-5897
Practice Address - Street 1:20494 NW 27TH ST
Practice Address - Street 2:
Practice Address - City:MORRISTON
Practice Address - State:FL
Practice Address - Zip Code:32668-7904
Practice Address - Country:US
Practice Address - Phone:352-489-7444
Practice Address - Fax:352-465-5897
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-28
Last Update Date:2009-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL767443100Medicaid