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Organization

THOMAS FOUNDATION

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. SHANNON THOMAS MHA (CEO)
(386) 216-5174
Entity
Organization

Contact information

Practice address
667 DELTONA BLVD STE 101, DELTONA, FL 32725-8151
(386) 259-4985
Mailing address
5224 W STATE ROAD 46 # 325, SANFORD, FL 32771-9230
(386) 216-5174

Taxonomy

Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary

Other

Enumeration date
02/12/2024
Last updated
02/12/2024
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