Great Expectations Kid's Home | |
11216 108th Way Largo FL 33778-3320 | |
(727) 488-1493 | |
Not Available |
Full Name | Great Expectations Kid's Home |
---|---|
Speciality | Community/behavioral Health |
Location | 11216 108th Way, Largo, Florida |
Authorized Official Name and Position | George F Ensor (ADMINITRATOR) |
Authorized Official Contact | 7277351317 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Great Expectations Kid's Home 13494 Walsingham Rd Largo FL 33774-3527 Ph: (727) 735-1317 | Great Expectations Kid's Home 11216 108th Way Largo FL 33778-3320 Ph: (727) 488-1493 |
NPI Number | 1992309660 |
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Provider Enumeration Date | 11/24/2020 |
Last Update Date | 11/24/2020 |
Certification Date | 11/24/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1992309660 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
253J00000X | Foster Care Agency | (* (Not Available)) | Secondary |
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