| 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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