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Organization

HEART, HEAD & HAND, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. RICHARD FAY LCSW (PRESIDENT)
(386) 986-8662
Entity
Organization

Contact information

Practice address
59 BAYSIDE DR, PALM COAST, FL 32137-8871
(386) 986-8662
(386) 447-7320
Mailing address
59 BAYSIDE DR, PALM COAST, FL 32137-8871
(386) 986-8662
(386) 447-7320

Taxonomy

Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
252Y00000X
Early Intervention Provider Agency
Primary
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
002127600
FL
05
766088000
FL
05
811722500
FL
Enumeration date
04/05/2010
Last updated
07/18/2010
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