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46821 Jane Ln Paisley FL 32767-9015 | |
(352) 717-3680 | |
Not Available |
Full Name | |
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Speciality | Psychiatric Residential Treatment Facility |
Location | 46821 Jane Ln, Paisley, Florida |
Authorized Official Name and Position | Maranda Figuli (CREDENTIALING MANAGER) |
Authorized Official Contact | 4809872080 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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2560 Business Pkwy Ste A Minden NV 89423-8961 Ph: (480) 897-2040 | 46821 Jane Ln Paisley FL 32767-9015 Ph: (352) 717-3680 |
NPI Number | 1043087414 |
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Provider Enumeration Date | 12/06/2023 |
Last Update Date | 05/22/2024 |
Certification Date | 05/22/2024 |
Identifier | Type | State | Issuer |
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1043087414 | NPI | - | NPPES |