Healthcare Provider Details
I. General information
NPI: 1568569937
Provider Name (Legal Business Name): APALACHEE CENTER INC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 09/20/2006
Last Update Date: 03/05/2020
Certification Date: 03/05/2020
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1421 OLD DIXIE HIGHWAY
PERRY FL
32348
US
IV. Provider business mailing address
2634 CAPITAL CIR NE
TALLAHASSEE FL
32308-4106
US
V. Phone/Fax
- Phone: 850-584-5613
- Fax: 850-584-5687
- Phone: 850-523-3333
- Fax: 850-523-3411
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 251S00000X |
| Taxonomy | Community/Behavioral Health Agency |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
APRIL
D
LANDRUM
Title or Position: DIRECTOR OF PATIENT FINANCIAL SRVCS
Credential:
Phone: 850-523-2243