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NPI Code Detail

MEDICARE: JUST FOR KIDS, INC.

MEDICARE: JUST FOR KIDS, 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
1320900000XIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility090634FL
2251E00000XHome Health Agency299991136FL

Other Identifiers

General Provider Information

NPI Number : 1598725400
Entity Type Code : Organization
Provider Name (Legal Business Name) : JUST FOR KIDS, INC.
Provider Business Mailing Address
First Line : 1233 45TH ST
Second Line : SUITE A-5
City : WEST PALM BEACH
State : FL
Zip : 33407-2160
Country : US
Telephone Number : 561-863-7055
Fax Number : 561-863-6577
Provider Business Practice Location Address
First Line : 1233 45TH ST
Second Line : SUITE A-5
City : WEST PALM BEACH
State : FL
Zip : 33407-2160
Country : US
Telephone Number : 561-863-7055
Fax Number : 561-863-6577
Authorized Official
Title or Position : VICE PRESIDENT
Name : MR. STUART R RUSSELL
Credential :
Telephone Number : 561-863-7055
Provider Enumeration Date : 03/24/2006
Last Update Date : 09/10/2010

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Directions to “JUST FOR KIDS, INC. ” Practice Location

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