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Organization
THE HOUSE OF ISRAEL INC
Active
Organization
THE HOUSE OF ISRAEL INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MAURICE CAMPBELL (CHIEF EXECUTIVE OFFICER)
(863) 285-6025
Entity
Organization
Contact information
Practice address
4 5TH ST SW, FORT MEADE, FL 33841-3410
(863) 285-6025
(888) 677-8750
Mailing address
PO BOX 881, FORT MEADE, FL 33841-0881
(863) 285-6025
(888) 677-8750
Taxonomy
Speciality
Code
Description
License number
State
101YP1600X
Pastoral Counselor
—
—
104100000X
Social Worker
—
—
174200000X
Meals Provider
—
—
177F00000X
Lodging Provider
Primary
—
—
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
251V00000X
Voluntary or Charitable Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
261Q00000X
Clinic/Center
—
—
261QE0002X
Emergency Care Clinic/Center
—
—
282J00000X
Religious Nonmedical Health Care Institution
—
—
Other
Enumeration date
03/17/2020
Last updated
05/30/2021
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