Organization
CHILDRENS HOME SOCIETY OF FL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RESHANNA WILLIAMS (CLINICAL SUPERVISER)
(772) 460-9752
Entity
Organization
Contact information
Practice address
4520 SELVITZ RD, FORT PIERCE, FL 34981-4801
(772) 460-9752
Mailing address
4520 SELVITZ RD, FORT PIERCE, FL 34981-4801
Taxonomy
Speciality
Code
Description
License number
State
385H00000X
Respite Care
Primary
59-019243
FL
Other
Enumeration date
08/22/2011
Last updated
08/22/2011
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