Provider Demographics
NPI:1699582536
Name:TRUECARE COMMUNITY SERVICES CORP
Entity type:Organization
Organization Name:TRUECARE COMMUNITY SERVICES CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MARLON
Authorized Official - Middle Name:
Authorized Official - Last Name:DEL VILLAR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:786-731-4081
Mailing Address - Street 1:111 NW 183RD ST STE 303
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33169-4599
Mailing Address - Country:US
Mailing Address - Phone:305-505-5463
Mailing Address - Fax:
Practice Address - Street 1:111 NW 183RD ST STE 303
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33169-4599
Practice Address - Country:US
Practice Address - Phone:305-505-5463
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-12-13
Last Update Date:2024-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)