Organization
FLORIDA DEPARTMENT OF CHILDREN AND FAMILIES
Active
Other names
Northeast Florida State Hospital
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LINDA G. WILLIAMS (HOSPITAL ADMINISTRATOR)
(904) 330-2001
Entity
Organization
Contact information
Practice address
7487 S STATE ROAD 121, ACCOUNTING DEPARTMENT, MACCLENNY, FL 32063-5451
(904) 259-6211
(904) 259-7154
Mailing address
7487 S STATE ROAD 121, ACCOUNTING DEPARTMENT, MACCLENNY, FL 32063-5480
(904) 259-6211
(904) 259-7154
Taxonomy
Speciality
Code
Description
License number
State
283Q00000X
Psychiatric Hospital
Primary
4004
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
026002900
—
FL
Enumeration date
07/26/2006
Last updated
11/18/2020
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