Childrens Home Society | |
405 Georgia St Starke FL 32091-1870 | |
(352) 334-0956 | |
(352) 334-0957 |
Full Name | Childrens Home Society |
---|---|
Speciality | Community/behavioral Health |
Location | 405 Georgia St, Starke, Florida |
Authorized Official Name and Position | David A Bundy (PRESIDENT/CEO) |
Authorized Official Contact | 3213973000 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Childrens Home Society 1485 S Semoran Blvd Suite 1448 Winter Park FL 32792-5533 Ph: (321) 397-3000 | Childrens Home Society 405 Georgia St Starke FL 32091-1870 Ph: (352) 334-0956 |
NPI Number | 1164707329 |
---|---|
Provider Enumeration Date | 10/19/2011 |
Last Update Date | 10/19/2011 |
Identifier | Type | State | Issuer |
---|---|---|---|
1164707329 | NPI | - | NPPES |
070971900 | Medicaid | FL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | (Florida) | Primary |
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