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Countyline Support Services Corp
Developmental Disabilities Clinic/Center in Pembroke Pines, Florida
NPI 1265911531

Countyline Support Services Corp is a Developmental Disabilities Clinic/Center based in Pembroke Pines, FL and is specialized in Developmental Disabilities. Countyline Support Services Corp practices in Pembroke Pines, FL. The NPI Number for Countyline Support Services Corp is 1265911531 and holds a License No. (Florida).

The current practice location address for Countyline Support Services Corp is 2114 N Flamingo Rd # 166, Pembroke Pines, FL and can be reached out via phone at 954-632-9891.

Location: 2114 N Flamingo Rd # 166, Pembroke Pines, FL, 33028-3501
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1265911531
Provider Name
Countyline Support Services Corp
Credential
Provider Entity Type
Organization
Address
2114 N Flamingo Rd # 166, Pembroke Pines, FL, 33028-3501
Phone Number
954-632-9891
Fax Number
Provider Enumeration Date
08/08/2018
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
100207900 05 FL
institution
Provider Business Practice Location Address Details
Address
2114 N Flamingo Rd # 166
City
Pembroke Pines
State
Florida
Zip
33028-3501
Phone Number
954-632-9891
Fax Number
person
Provider Business Mailing Address Details
Address
2114 N Flamingo Rd # 166
City
Pembroke Pines
State
Florida
Zip
33028-3501
Phone Number
954-632-9891
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Developmental Disabilities
Taxonomy
261QD1600X
License No.
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Definition
An entity, facility, or distinct part of a facility providing comprehensive, multidiscipline diagnostic, treatment, therapy, training, and counseling services to children with congenital disorders that precipitate developmental delays and in many instances mental deficiencies (e.g., Cerebral Palsy, metabolic disorders, Sturge-Weber Syndrome, etc.).
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