| 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 |
|---|---|
| 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 |