Organization
WALRUS SERVICES, LLC
Active
Organization
WALRUS SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DOW G. (GUY) WALDEN JR. D MIN, M ED (OWNER/C.O.O.)
(321) 689-2072
Entity
Organization
Contact information
Practice address
390 S GERONIMO ST, SUITE #104, MIRAMAR BEACH, FL 32550-7020
(850) 650-0053
(850) 650-0075
Mailing address
390 S GERONIMO ST, SUITE #104, MIRAMAR BEACH, FL 32550-7020
(850) 650-0053
(850) 650-0075
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
691154496
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
691154496
—
FL
Enumeration date
08/07/2012
Last updated
08/07/2012
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