| Father Flanagan's Boys Town Florida, Inc | |
|
12983 Southern Blvd Ste 100 Loxahatchee FL 33470-9254 | |
| (561) 612-6049 | |
| Not Available |
| Full Name | Father Flanagan's Boys Town Florida, Inc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 12983 Southern Blvd Ste 100, Loxahatchee, Florida |
| Authorized Official Name and Position | Alice Hemings (BILLING MANAGER) |
| Authorized Official Contact | 5616126049 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Father Flanagan's Boys Town Florida, Inc 1655 Palm Beach Lakes Blvd Ste 300 West Palm Beach FL 33401-2203 Ph: (156) 161-2604 | Father Flanagan's Boys Town Florida, Inc 12983 Southern Blvd Ste 100 Loxahatchee FL 33470-9254 Ph: (561) 612-6049 |
| NPI Number | 1780327403 |
|---|---|
| Provider Enumeration Date | 04/20/2022 |
| Last Update Date | 04/22/2022 |
| Certification Date | 04/22/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780327403 | NPI | - | NPPES |
| 011708803 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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