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Organization
WILLIAM C FORREST
Active
Organization
WILLIAM C FORREST
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM FORREST (ABA)
(850) 628-9341
Entity
Organization
Contact information
Practice address
1306 CONNECTICUT AVE, LYNN HAVEN, FL 32444-2030
(850) 628-9341
Mailing address
1306 CONNECTICUT AVE, LYNN HAVEN, FL 32444
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
FL
Other
Enumeration date
04/12/2017
Last updated
04/12/2017
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