Florida United Methodist Childrens Home, Inc. | |
1647 Ne Captain Buie Rd Pinetta FL 32350-2799 | |
(850) 929-3000 | |
Not Available |
Full Name | Florida United Methodist Childrens Home, Inc. |
---|---|
Speciality | Community/behavioral Health |
Location | 1647 Ne Captain Buie Rd, Pinetta, Florida |
Authorized Official Name and Position | Kaylee Kathryn Vance (DIRECTOR OF UTILIZATION MANAGEMENT) |
Authorized Official Contact | 3866684774 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Florida United Methodist Childrens Home, Inc. 51 Childrens Way Enterprise FL 32725-8135 Ph: (386) 668-4774 | Florida United Methodist Childrens Home, Inc. 1647 Ne Captain Buie Rd Pinetta FL 32350-2799 Ph: (850) 929-3000 |
NPI Number | 1699355818 |
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Provider Enumeration Date | 04/12/2021 |
Last Update Date | 05/13/2021 |
Certification Date | 05/13/2021 |
Identifier | Type | State | Issuer |
---|---|---|---|
1699355818 | NPI | - | NPPES |
010934900 | Medicaid | FL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
322D00000X | Residential Treatment Facility, Emotionally Disturbed Children | (* (Not Available)) | Secondary |
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