MEDICARE: HUMAN SERVICES ASSOCIATES, 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

General Provider Information

NPI Number	:	1174676993
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HUMAN SERVICES ASSOCIATES, INC.

Provider Business Mailing Address
First Line	:	1703 W COLONIAL DR
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32804-7013
Country	:	US
Telephone Number	:	407-422-0880
Fax Number	:	407-284-1050

Provider Business Practice Location Address
First Line	:	1703 W COLONIAL DR
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32804-7013
Country	:	US
Telephone Number	:	407-422-0880
Fax Number	:	407-284-1050

Authorized Official
Title or Position	:	PROGRAM BILLING SPECIALIST
Name	:	KIM PELLEGRINO
Credential	:
Telephone Number	:	407-422-0880

Provider Enumeration Date	:	01/18/2007
Last Update Date	:	08/22/2020

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