| Children's Home Society Of Florida, Inc. | |
|
1208 E Wade St Trenton FL 32693-2780 | |
| (352) 463-3110 | |
| Not Available |
| Full Name | Children's Home Society Of Florida, Inc. |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1208 E Wade St, Trenton, Florida |
| Authorized Official Name and Position | Eileen Tosolini (PROVIDER RELATIONS MANAGER) |
| Authorized Official Contact | 4073752565 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Children's Home Society Of Florida, Inc. 5766 S Semoran Blvd Orlando FL 32822-4818 Ph: (321) 397-3000 | Children's Home Society Of Florida, Inc. 1208 E Wade St Trenton FL 32693-2780 Ph: (352) 463-3110 |
| NPI Number | 1649555665 |
|---|---|
| Provider Enumeration Date | 10/21/2011 |
| Last Update Date | 08/03/2021 |
| Certification Date | 08/03/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649555665 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 100005094 (Florida) | Primary |
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