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NPI Code Detail

MEDICARE: SYLVIA THOMAS CENTER FOR ADOPTIVE AND FOSTER FAMILIES, INC.

MEDICARE: SYLVIA THOMAS CENTER FOR ADOPTIVE AND FOSTER FAMILIES, 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
1251B00000XCase Management Agency

General Provider Information

NPI Number : 1316196819
Entity Type Code : Organization
Provider Name (Legal Business Name) : SYLVIA THOMAS CENTER FOR ADOPTIVE AND FOSTER FAMILIES, INC.
Provider Business Mailing Address
First Line : PO BOX 488
Second Line :
City : MANGO
State : FL
Zip : 33550-0488
Country : US
Telephone Number : 813-651-3150
Fax Number : 813-651-3507
Provider Business Practice Location Address
First Line : 716 S OAKWOOD AVE
Second Line :
City : BRANDON
State : FL
Zip : 33511-6124
Country : US
Telephone Number : 813-651-3150
Fax Number : 813-651-3507
Authorized Official
Title or Position : EXECUTIVE DIRECTOR
Name : RENEE WALKER
Credential :
Telephone Number : 813-651-3150
Provider Enumeration Date : 09/09/2008
Last Update Date : 09/09/2008

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Directions to “SYLVIA THOMAS CENTER FOR ADOPTIVE AND FOSTER FAMILIES, INC. ” Practice Location

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