Organization
GULF COUNTY ASSOCIATION FOR RETARDED CITIZENS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHY BALENTINE (TRANSPORTATION DIRECTOR)
(850) 229-6550
Entity
Organization
Contact information
Practice address
122 WATER PLANT ROAD, PORT ST JOE, FL 32456
(850) 229-6550
(850) 227-2084
Mailing address
PO BOX 8, PORT ST JOE, FL 32457-0008
(850) 229-6550
(850) 227-2084
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
024386896
—
FL
Enumeration date
04/27/2017
Last updated
04/27/2017
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