Organization
RESCARE FLORIDA, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANGIE MATTINGLY (PROVIDER ENROLLMENT MANAGER)
(502) 630-7425
Entity
Organization
Contact information
Practice address
2683 JENKS AVE, PANAMA CITY, FL 32405-4351
(850) 872-9044
Mailing address
805 N WHITTINGTON PKWY, LOUISVILLE, KY 40222-5186
(800) 866-0860
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
672197496
—
FL
Enumeration date
04/16/2008
Last updated
03/05/2020
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