Gulf Coast Youth Services in Crestview - Custodial Care Facility
Gulf Coast Youth Services - NPI 1841418332
Gulf Coast Youth Services is a Custodial Care Facility in Crestview, 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 1841418332. The last update date is 2020-08-22.
Gulf Coast Youth Services's current location address is 4455 Straight Line Rd, Crestview, Florida. You can contact this provider via phone number 8508634160. The mailing address for Gulf Coast Youth Services is 4455 Straight Line Rd, Crestview, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Gulf Coast Youth Services |
|---|---|
| Address | 4455 Straight Line Rd, Crestview, Florida |
| Phone Number | 8508634160 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CEO |
|---|---|
| Authorized Official Name | Kaplan Jeffrey |
| Telephone Number | 8508634160 |
NPI Number Detail
| NPI Number | 1841418332 |
|---|---|
| Provider Enumeration Date | 2007-04-23 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 4455 Straight Line Rd |
|---|---|
| City | Crestview |
| State | Florida (FL) |
| Post Code | 325396720 |
| Phone Number | 8508634160 |
| Fax Number |
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 provider identifier assigned to Gulf Coast Youth Services?
The Gulf Coast Youth Services has been issued the NPI (National Provider Identifier) 1841418332 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you provide the complete physical address where Gulf Coast Youth Services is located?
The Gulf Coast Youth Services is situated at the following address: 4455 Straight Line Rd, Crestview, FL, 325396720.
What is Gulf Coast Youth Services's specialized field of practice, and what is the corresponding taxonomy classification code?
The Gulf Coast Youth Services's area of specialization is Custodial Care Facility, and the corresponding taxonomy code that categorizes this field of practice is 311Z00000X.
On what date did the Gulf Coast Youth Services receive its 1841418332 assignment from the Centers for Medicare & Medicaid Services?
The Gulf Coast Youth Services was assigned its 1841418332 by the Centers for Medicare & Medicaid Services on 2007-04-23.
As of what date were the details pertaining to Gulf Coast Youth Services last refreshed?
The information related to the Gulf Coast Youth Services, including its address, specialty, and other relevant details, was last updated on 2020-08-22.