Organization
MERIDIAN BEHAVIORAL HEALTHCARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HEATHER RUPERT (BILLING DIRECTOR)
(352) 374-5600
Entity
Organization
Contact information
Practice address
173 SE BAYA DR, LAKE CITY, FL 32025-5982
(386) 755-0337
Mailing address
173 SE BAYA DR, LAKE CITY, FL 32025-5982
(386) 755-0337
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
360344017
—
FL
Enumeration date
05/14/2008
Last updated
05/14/2008
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