Provider Demographics
NPI:1497204457
Name:CHRISTOLI CARE LLC
Entity type:Organization
Organization Name:CHRISTOLI CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:JULIA
Authorized Official - Middle Name:RENE
Authorized Official - Last Name:GEORGES-LOUIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:813-317-1491
Mailing Address - Street 1:3912 BOOT BAY RD
Mailing Address - Street 2:
Mailing Address - City:PLANT CITY
Mailing Address - State:FL
Mailing Address - Zip Code:33563-1336
Mailing Address - Country:US
Mailing Address - Phone:813-717-7778
Mailing Address - Fax:813-717-7778
Practice Address - Street 1:3912 BOOT BAY RD
Practice Address - Street 2:
Practice Address - City:PLANT CITY
Practice Address - State:FL
Practice Address - Zip Code:33563-1336
Practice Address - Country:US
Practice Address - Phone:813-717-7778
Practice Address - Fax:813-717-7778
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-09-30
Last Update Date:2016-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health