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Organization
INBOUND FOUNDATION, INC.
Active
Organization
INBOUND FOUNDATION, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PATRICK CARTER (CHAIRMAN)
(904) 208-1503
Entity
Organization
Contact information
Practice address
6195 S MAIN ST, HASTINGS, FL 32145-5592
(904) 208-1503
Mailing address
PO BOX 923, HASTINGS, FL 32145-3401
(904) 208-1503
Taxonomy
Speciality
Code
Description
License number
State
103TE1100X
Exercise & Sports Psychologist
—
FL
174200000X
Meals Provider
—
—
251B00000X
Case Management Agency
—
FL
251E00000X
Home Health Agency
—
—
251J00000X
Nursing Care Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
251X00000X
Supports Brokerage Agency
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
261QR0401X
Comprehensive Outpatient Rehabilitation Facility (CORF)
—
—
310400000X
Assisted Living Facility
—
—
320800000X
Mental Illness Community Based Residential Treatment Facility
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
385H00000X
Respite Care
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
578586
—
FL
Enumeration date
05/05/2015
Last updated
12/21/2017
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