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NPI Code Detail

MEDICARE: BOYS' HOME ASSOCIATION

MEDICARE: BOYS' HOME ASSOCIATION
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 AgencyFL

General Provider Information

NPI Number : 1891702932
Entity Type Code : Organization
Provider Name (Legal Business Name) : BOYS' HOME ASSOCIATION
Provider Business Mailing Address
First Line : 2354 UNIVERSITY BLVD N
Second Line :
City : JACKSONVILLE
State : FL
Zip : 32211-3228
Country : US
Telephone Number : 904-743-3611
Fax Number : 904-744-8131
Provider Business Practice Location Address
First Line : 2354 UNIVERSITY BLVD N
Second Line :
City : JACKSONVILLE
State : FL
Zip : 32211-3228
Country : US
Telephone Number : 904-743-3611
Fax Number : 904-744-8131
Authorized Official
Title or Position : PRESIDENT
Name : MR. ROBERT BROWN JR.
Credential :
Telephone Number : 904-743-3611
Provider Enumeration Date : 08/02/2006
Last Update Date : 08/22/2020

Similar Medicare Providers

1528163946 — MS. CATHLEEN CAULEY MSW
Practice Location Address:
2354 UNIVERSITY BLVD N
JACKSONVILLE, FL
32211-3228
Practice Phone: 904-421-6053
Practice Fax: 904-744-8131
1619063260 — MRS. COLLEEN ELIZABETH SURMAN
Practice Location Address:
2354UNIVERSITY BLVD N.
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1568545010 — BOYS' HOME ASSOCIATION
Practice Location Address:
2354 UNIVERSITY BLVD N
JACKSONVILLE, FL
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Practice Phone: 904-421-6088
Practice Fax: 904-743-8376
1184780611 — AMY COLLEEN SAELINGER LMHC
Practice Location Address:
2354 UNIVERSITY BLVD N
JACKSONVILLE, FL
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Practice Fax:
1205986643 — BOYS' HOME ASSOCIATION
Practice Location Address:
2354 UNIVERSITY BLVD N
JACKSONVILLE, FL
32211-3228
Practice Phone: 904-421-6040
Practice Fax:
1942350442 — MS. KORI LEE SEDGLEY LCSW
Practice Location Address:
2354 UNIVERSITY BLVD N
JACKSONVILLE, FL
32211-3228
Practice Phone: 904-421-6058
Practice Fax: 904-744-8131

Directions to “BOYS' HOME ASSOCIATION ” Practice Location

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