Organization
GLOBAL MEDICAL AND BEHAVIORAL HEALTH CORPORATION
Active
Organization
GLOBAL MEDICAL AND BEHAVIORAL HEALTH CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEFFERY HAYNES PH.D. (PRESIDENT/CEO)
(813) 997-2397
Entity
Organization
Contact information
Practice address
1183 SUWANEE RD, DAYTONA BEACH, FL 32114-5916
(813) 997-2397
Mailing address
1183 SUWANEE RD, DAYTONA BEACH, FL 32114-5916
(813) 997-2397
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
0001221676
VA
251E00000X
Home Health Agency
RN9365072
FL
251J00000X
Nursing Care Agency
0001221676
VA
251J00000X
Nursing Care Agency
RN9365072
FL
251S00000X
Community/Behavioral Health Agency
0701006086
VA
251S00000X
Community/Behavioral Health Agency
Primary
MH8653
FL
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
MH8653
FL
Other
Enumeration date
12/01/2015
Last updated
12/01/2015
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