Organization
HABILITATIVE SERVICES OF NORTH FLORIDA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. NATALIE HARDY (EXECUTIVE DIRECTOR)
(850) 482-5391
Entity
Organization
Contact information
Practice address
4440 PUTNAM ST, MARIANNA, FL 32446-3455
(850) 482-5391
(850) 482-2833
Mailing address
4440 PUTNAM ST, MARIANNA, FL 32446-3455
(850) 482-5391
(850) 482-2833
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
670805696
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
670805696
MEDICAID WAIVER PROVIDER
FL
Enumeration date
10/17/2013
Last updated
10/17/2013
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