Organization
EPIC COMMUNITY SERVICES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. NANGELA PULSFUS MHL,BSN,RN-C (CHIEF EXECUTIVE OFFICER)
(904) 829-2273
Entity
Organization
Contact information
Practice address
1400 OLD DIXIE HWY, ST AUGUSTINE, FL 32084-4190
(904) 829-2273
Mailing address
3910 LEWIS SPEEDWAY STE 1106, ST AUGUSTINE, FL 32084-8649
(904) 829-2273
(904) 824-0724
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
0455AD258200
FL
251S00000X
Community/Behavioral Health Agency
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
070827500
—
FL
Enumeration date
10/17/2006
Last updated
02/21/2024
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