| Disc Village, Inc. | |
|
1012 S Jefferson St Perry FL 32348-4605 | |
| (850) 584-5613 | |
| (850) 584-5687 |
| Full Name | Disc Village, Inc. |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1012 S Jefferson St, Perry, Florida |
| Authorized Official Name and Position | Melissa Skipton (QA DIRECTOR) |
| Authorized Official Contact | 8507661251 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Disc Village, Inc. 3333 W Pensacola St Suite 330 Tallahassee FL 32304-2888 Ph: (850) 575-4388 | Disc Village, Inc. 1012 S Jefferson St Perry FL 32348-4605 Ph: (850) 584-5613 |
| NPI Number | 1760722771 |
|---|---|
| Provider Enumeration Date | 02/28/2013 |
| Last Update Date | 02/14/2022 |
| Certification Date | 02/14/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760722771 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 0237AD133807 (Florida) | Primary |
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