Organization
COMMUNITY RESIDENTIAL SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FITZROY BARRINGTON EDMONSON (CHIEF OPERATION OFFICER)
(757) 319-9924
Entity
Organization
Contact information
Practice address
14675 COPELAND WAY, SPRING HILL, FL 34604-0000
(352) 345-4250
Mailing address
14675 COPELAND WAY, SPRING HILL, FL 34604-0000
(352) 345-4250
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
10/22/2007
Last updated
10/22/2007
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