Organization
JUST FOR KIDS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. STUART R RUSSELL (VICE PRESIDENT)
(561) 863-7055
Entity
Organization
Contact information
Practice address
1233 45TH ST, SUITE A-5, WEST PALM BEACH, FL 33407-2160
(561) 863-7055
(561) 863-6577
Mailing address
1233 45TH ST, SUITE A-5, WEST PALM BEACH, FL 33407-2160
(561) 863-7055
(561) 863-6577
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
299991136
FL
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
090634
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
650756500
—
FL
05
—
678775465
—
FL
Enumeration date
03/24/2006
Last updated
09/10/2010
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