BRAIN DISORDER SUPPORT FOUNDATION INC. NPI 1558618454

NPI Information

NPI: 1558618454
Provider Name: BRAIN DISORDER SUPPORT FOUNDATION, INC.

Doing Business As: FRIENDSHIP HOUSE BDSF

Classification: Clinic/Center - 261QA0600X
Entity Type: Organization

Specialization: Adult Day Care

Address:
353 JUNIPER LAKE RD
DEFUNIAK SPRINGS, FL
ZIP 32433
Phone: (850) 892-0565
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BRAIN DISORDER SUPPORT FOUNDATION, INC. is an adult day care clinic center in Defuniak Springs, FL. BRAIN DISORDER SUPPORT FOUNDATION, INC. NPI is 1558618454. The provider is registered as an organization entity type.
The provider Is Doing Business As Friendship House Bdsf.

The provider's business location address is:

353 JUNIPER LAKE RD
DEFUNIAK SPRINGS, FL
ZIP 32433-514
Phone: (850) 892-0565
Fax: (850) 520-4651

The provider's authorized official is Hilda R Coursey .
The authorized official title is Administratot and has the following contact phone number (850) 892-0565.

The enumeration date for this NPI number is 8/9/2012 and was last updated on 8/9/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QA0600X	Clinic/Center	Adult Day Care	AHCA #9115	FLORIDA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	9115	OTHER	FLORIDA	FL AHCA LICENSE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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