Provider Demographics
NPI:1871812883
Name:COMMUNITY ASSISTED RESOURCES AND ELDERLY SERVICES
Entity type:Organization
Organization Name:COMMUNITY ASSISTED RESOURCES AND ELDERLY SERVICES
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PROPRIETOR
Authorized Official - Prefix:MS
Authorized Official - First Name:MONA
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:PRYOR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:727-482-5640
Mailing Address - Street 1:3122 20TH AVE SO
Mailing Address - Street 2:
Mailing Address - City:ST PETERSBURG
Mailing Address - State:FL
Mailing Address - Zip Code:33712-3445
Mailing Address - Country:US
Mailing Address - Phone:727-482-5640
Mailing Address - Fax:856-963-9090
Practice Address - Street 1:3122 20TH AVE SO
Practice Address - Street 2:
Practice Address - City:ST PETERSBURG
Practice Address - State:FL
Practice Address - Zip Code:33712-3445
Practice Address - Country:US
Practice Address - Phone:727-482-5640
Practice Address - Fax:856-963-9090
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-06-01
Last Update Date:2011-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
No252Y00000XAgenciesEarly Intervention Provider Agency