Organization · NPI-2
Children'S Home Society Of Florida
Case Management · Fort Pierce, FL
NPI number1104922327
StatusActive
Last updated in NPPESAug 22, 2020
Details
- NPI
- 1104922327
- Entity type
- Organization (NPI-2)
- Legal business name
- Children'S Home Society Of Florida
- Organization subpart
- No
- Enumeration date
- Sep 15, 2006
- Last updated
- Aug 22, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 251B00000X | Case Management | – | – | Yes |
Practice location
415 Avenue ASuite 101
Fort Pierce, FL 34950-4260
Phone 772-489-5601 · Fax 772-489-5604
Mailing address
1485 S Semoran BlvdSuite 1448
Winter Park, FL 32792-5533
Authorized official
David Bundy
Ceo
3213973000
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