# BIG BEND COMMUNTIY BASED CARE

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1083762504
- **Authorized official:** MR. MIKE WATKINS (CHIEF OPERATING OFFICER)
- **Authorized official phone:** (850) 410-1020

## Contact information

- **Practice address:** 525 N MARTIN LUTHER KING JR BLVD, TALLAHASSEE, FL 32301-1054
- **Practice address phone:** (850) 410-1020
- **Practice address fax:** (850) 410-1076
- **Mailing address:** 525 N MARTIN LUTHER KING JR BLVD, TALLAHASSEE, FL 32301-1054
- **Mailing address phone:** (850) 410-1020
- **Mailing address fax:** (850) 410-1076

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251K00000X | Public Health or Welfare Agency | 02B010401P | FL | Yes |

## Other

- **Enumeration date:** 01/08/2007
- **Last updated:** 08/22/2020