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Organization

THE HENRY & RILLA WHITE YOUTH FOUNDATION INC

Active
Other names
Henry & Rilla White Foundation Inc
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. LINDA DURRANCE (CEO)
(850) 922-8375
Entity
Organization

Contact information

Practice address
305 NW CHRISTIAN CT, LAKE CITY, FL 32055-4837
(352) 752-7813
(352) 752-7836
Mailing address
2833 REMINGTON GREEN CIR, TALLAHASSEE, FL 32308-3752
(850) 922-8375
(850) 488-2071

Taxonomy

Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
251S00000X
Community/Behavioral Health Agency
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
055048500
FL
05
055048501
FL
05
055048502
FL
05
055048504
FL
05
055048505
FL
05
055048506
FL
05
055048507
FL
05
055048508
FL
05
055048511
FL
05
055048514
FL
05
055048515
FL
05
055048516
FL
05
055048517
FL
05
055048518
FL
05
055048521
FL
05
055048522
FL
05
076660700
FL
Enumeration date
08/11/2005
Last updated
03/12/2020
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