# CHILDREN'S HOME SOCIETY OF FLORIDA

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

## Provider details

- **NPI number:** 1558778779
- **Authorized official:** MR. BRANDON MERKLEY (OUTPATIENT PROGRAM SUPERVISOR)
- **Authorized official phone:** (904) 794-0268

## Contact information

- **Practice address:** 25 DELTONA BLVD STE 5, ST AUGUSTINE, FL 32086-4204
- **Practice address phone:** (904) 794-0268
- **Mailing address:** 25 DELTONA BLVD STE 5, ST AUGUSTINE, FL 32086-4204

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251K00000X | Public Health or Welfare Agency | 07-1582-000-05 | FL | Yes |

## Other

- **Enumeration date:** 07/21/2014
- **Last updated:** 07/21/2014