# BASIC NWFI INC

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

## Provider details

- **NPI number:** 1720267750
- **Authorized official:** MS. VALERIE D MINCEY MSW (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (850) 785-1088

## Contact information

- **Practice address:** 423 MAGNOLIA AVE, PANAMA CITY, FL 32401
- **Practice address phone:** (850) 785-1088
- **Practice address fax:** (850) 785-8111
- **Mailing address:** PO BOX 805, 423 MAGNOLIA AVE, PANAMA CITY, FL 32401
- **Mailing address phone:** (850) 785-1088
- **Mailing address fax:** (850) 785-8111

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 171M00000X | Case Manager/Care Coordinator | — | — | Yes |

## Other

- **Enumeration date:** 10/26/2007
- **Last updated:** 10/26/2007