MEDICARE: OUR CHILDREN OUR FUTURE, INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251S00000X	Community/Behavioral Health Agency

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1023282415
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	OUR CHILDREN OUR FUTURE, INC.

Provider Business Mailing Address
First Line	:	450 N PARK RD
Second Line	:	SUITE 600
City	:	HOLLYWOOD
State	:	FL
Zip	:	33021-6917
Country	:	US
Telephone Number	:	954-929-7515
Fax Number	:	954-929-7510

Provider Business Practice Location Address
First Line	:	450 N PARK RD
Second Line	:	SUITE 600
City	:	HOLLYWOOD
State	:	FL
Zip	:	33021-6917
Country	:	US
Telephone Number	:	954-929-7515
Fax Number	:	954-929-7510

Authorized Official
Title or Position	:	EXECUTIVE DIRECTOR
Name	:	MISS VERONICA V JAMES
Credential	:
Telephone Number	:	954-929-7515

Provider Enumeration Date	:	04/16/2008
Last Update Date	:	04/24/2017

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