Organization
CHILDRENS HOME SOCIETY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID A BUNDY (PRESIDENT/CEO)
(321) 397-3000
Entity
Organization
Contact information
Practice address
405 GEORGIA ST, STARKE, FL 32091-1870
(352) 334-0956
(352) 334-0957
Mailing address
1485 S SEMORAN BLVD, SUITE 1448, WINTER PARK, FL 32792-5533
(321) 397-3000
(321) 397-3016
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
070971900
—
FL
Enumeration date
10/19/2011
Last updated
10/19/2011
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