Organization
BRAIN DISORDER SUPPORT FOUNDATION, INC.
Active
Other names
Friendship House BDSF
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. HILDA R COURSEY (ADMINISTRATOT)
(850) 892-0565
Entity
Organization
Contact information
Practice address
353 JUNIPER LAKE RD, DEFUNIAK SPRINGS, FL 32433-3514
(850) 892-0565
(850) 520-4651
Mailing address
353 JUNIPER LAKE RD, DEFUNIAK SPRINGS, FL 32433-3514
(850) 892-0565
(850) 520-4651
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
AHCA #9115
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
9115
FL AHCA LICENSE
FL
Enumeration date
08/09/2012
Last updated
08/09/2012
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