Organization
COUNTRY ACRES GROUP HOME
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. GAY WILLIAMS (DIRECTOR HOUSING HUMAN SERVICES)
(321) 264-5000
Entity
Organization
Contact information
Practice address
1850 S DELEON AVE, TITUSVILLE, FL 32780-7733
(321) 264-5000
(321) 264-5195
Mailing address
1850 S DELEON AVE, TITUSVILLE, FL 32780-7733
(321) 264-5000
(321) 264-5195
Taxonomy
Speciality
Code
Description
License number
State
253J00000X
Foster Care Agency
Primary
18-1073-025-08
FL
Other
Enumeration date
06/18/2009
Last updated
06/18/2009
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