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Organization

CARING HEARTS PEDIATRIC EXTENDED CARE CENTER, INC

Active
Other names
Caring Hearts Pediatric Extended Care Center
Organization subpart
No

Provider details

NPI number
Authorized official
JOSEPH HARRELSON (CEO)
(850) 475-0555
Entity
Organization

Contact information

Practice address
380 MEDCREST DR, CRESTVIEW, FL 32536
(850) 475-0555
(850) 475-0650
Mailing address
380 MEDCREST DR, CRESTVIEW, FL 32536
(850) 475-0555
(850) 475-0650

Taxonomy

Speciality
Code
Description
License number
State
261QM3000X
Medically Fragile Infants and Children Day Care
Primary
60080985
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
113402700
FL
Enumeration date
05/22/2007
Last updated
05/25/2022
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