Organization
MERIDIAN BEHAVIORAL HEALTHCARE INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VENEKA UNDERWOOD (CERTIFIED NURSING ASSISTANT)
(386) 288-3725
Entity
Organization
Contact information
Practice address
518 NE TAYLOR AVE, LAKE CITY, FL 32055-2909
(386) 288-3725
Mailing address
518 NE TAYLOR AVE, LAKE CITY, FL 32055-2909
(386) 288-3725
Taxonomy
Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
28465403
—
FL
Enumeration date
05/20/2014
Last updated
05/20/2014
Update your record
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