Organization
CARING PALMS OF FLORIDA SUPPORTIVE AND DEVELOPMETNAL SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS BROUGHTON (OWNER)
(251) 593-8047
Entity
Organization
Contact information
Practice address
5598B MOSSEY OAK DR, MOLINO, FL 32577
(251) 593-8047
Mailing address
630 BULLARD AVE, PENSACOLA, FL 32514-3208
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
373H00000X
Day Training/Habilitation Specialist
—
—
Other
Enumeration date
07/27/2018
Last updated
08/07/2018
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