Organization
BOYS' HOME ASSOCIATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. COLLEEN SURMAN (DIRECTOR OF MEDICAID SERVICES)
(904) 421-6040
Entity
Organization
Contact information
Practice address
2354 UNIVERSITY BLVD N, JACKSONVILLE, FL 32211-3228
(904) 421-6040
Mailing address
2354 UNIVERSITY BLVD N, JACKSONVILLE, FL 32211-3228
(904) 421-6040
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
01/10/2007
Last updated
08/22/2020
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