Gulf Coast Youth Services in Fort Walton Beach - Custodial Care Facility
Gulf Coast Youth Services - NPI 1407073620
Gulf Coast Youth Services is a Custodial Care Facility in Fort Walton Beach, Florida. Gulf Coast Youth Services practices all healthcare services and medical treatments related to Custodial Care Facility. The NPI Number for Gulf Coast Youth Services is 1407073620. The last update date is 2020-08-22.
Gulf Coast Youth Services's current location address is 1015 Mar Walt Dr, Fort Walton Beach, Florida. You can contact this provider via phone number 8508634160 and fax number 8508638576. The mailing address for Gulf Coast Youth Services is 1015 Mar Walt Dr, Fort Walton Beach, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Gulf Coast Youth Services |
|---|---|
| Address | 1015 Mar Walt Dr, Fort Walton Beach, Florida |
| Phone Number | 8508634160 |
| Fax Number | 8508638576 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CEO |
|---|---|
| Authorized Official Name | Kaplan Jeffrey |
| Telephone Number | 8508634160 |
NPI Number Detail
| NPI Number | 1407073620 |
|---|---|
| Provider Enumeration Date | 2007-04-19 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 1015 Mar Walt Dr |
|---|---|
| City | Fort Walton Beach |
| State | Florida (FL) |
| Post Code | 325476738 |
| Phone Number | 8508634160 |
| Fax Number | 8508638576 |
Provider's Primary Taxonomy Detail
| Speciality | Custodial Care Facility |
|---|---|
| Taxonomy | 311Z00000X |
| Licence No | 260390701652 |
|
Definition: A facility providing care that serves to assist an individual in the activities of daily living, such as assistance in walking, getting in and out of bed, bathing, dressing, feeding, and using the toilet, preparation of special diets, and supervision |
|
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Gulf Coast Youth Services by the Centers for Medicare & Medicaid Services?
The Gulf Coast Youth Services has been issued the NPI (National Provider Identifier) 1407073620, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Where is the Gulf Coast Youth Services located?
The Gulf Coast Youth Services is located at 1015 Mar Walt Dr, Fort Walton Beach, FL 325476738.
What is the Gulf Coast Youth Services's specialty and taxonomy code?
The Gulf Coast Youth Services's specialty is Custodial Care Facility, and the corresponding taxonomy code is 311Z00000X.
When was the Gulf Coast Youth Services's 1407073620 issued?
The Gulf Coast Youth Services's 1407073620 was issued on 2007-04-19.
As of what date were the Gulf Coast Youth Services's details last updated?
The information pertaining to the Gulf Coast Youth Services, including its address, specialty, and other details, was most recently updated on 2020-08-22.