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4 5th St Sw Fort Meade FL 33841-3410 | |
| (863) 712-2774 | |
| (888) 677-8750 |
| Full Name | |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 4 5th St Sw, Fort Meade, Florida |
| Authorized Official Name and Position | Maurice Campbell (DIRECTOR) |
| Authorized Official Contact | 8637122774 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
Po Box 881 Fort Meade FL 33841-0881 Ph: (863) 712-2774 | 4 5th St Sw Fort Meade FL 33841-3410 Ph: (863) 712-2774 |
| NPI Number | 1477125516 |
|---|---|
| Provider Enumeration Date | 07/16/2021 |
| Last Update Date | 09/28/2021 |
| Certification Date | 09/28/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477125516 | NPI | - | NPPES |
The House Of Israel Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4 5th St Sw, Fort Meade, FL 33841 Phone: 863-285-6025 Fax: 888-677-8750 |