Organization
BASIC NWFI INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. VALERIE D MINCEY MSW (EXECUTIVE DIRECTOR)
(850) 785-1088
Entity
Organization
Contact information
Practice address
423 MAGNOLIA AVE, PANAMA CITY, FL 32401
(850) 785-1088
(850) 785-8111
Mailing address
PO BOX 805, 423 MAGNOLIA AVE, PANAMA CITY, FL 32401
(850) 785-1088
(850) 785-8111
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
10/26/2007
Last updated
10/26/2007
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