MEDICARE: OPERATION SAVING OUR CHILDREN INC.

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	251S00000X	Community/Behavioral Health Agency
2	261QD1600X	Developmental Disabilities Clinic/Center
3	251B00000X	Case Management Agency

General Provider Information

NPI Number	:	1104205152
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	OPERATION SAVING OUR CHILDREN INC.

Provider Business Mailing Address
First Line	:	1301 RIVERPLACE BLVD
Second Line	:	SUITE 800
City	:	JACKSONVILLE
State	:	FL
Zip	:	32207-9047
Country	:	US
Telephone Number	:	904-483-1870
Fax Number	:

Provider Business Practice Location Address
First Line	:	1301 RIVERPLACE BLVD
Second Line	:	SUITE 800
City	:	JACKSONVILLE
State	:	FL
Zip	:	32207-9047
Country	:	US
Telephone Number	:	904-483-1870
Fax Number	:

Authorized Official
Title or Position	:	EXECUTIVE DIRECTOR
Name	:	MRS. BERNADETTE EVELYENNA FIELDS I
Credential	:	M.A.
Telephone Number	:	904-483-1870

Provider Enumeration Date	:	05/22/2015
Last Update Date	:	09/08/2016

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