Organization
HEALTH CARE CENTER FOR THE HOMELESS, INC.
Active
Parent organization
HEALTH CARE CENTER FOR THE HOMELESS, INC.
Other names
Orange Blossom Family Health
Organization subpart
Yes
Provider details
NPI number
Legal business name
HEALTH CARE CENTER FOR THE HOMELESS, INC.
Authorized official
DR. CHIANTA SHAW LINDSEY DNP, APRN (CHIEF OPERATING OFFICER)
(407) 428-5751
Entity
Organization
Contact information
Practice address
4426 OLD WINTER GARDEN RD, ORLANDO, FL 32811
(407) 428-5157
Mailing address
232 N ORANGE BLOSSOM TRL, ORLANDO, FL 32805-1612
(407) 428-5751
(407) 428-6204
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
687429100
—
FL
Enumeration date
03/08/2019
Last updated
03/08/2019
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