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GULF COAST YOUTH SERVICES NPI 1841418332


NPI Information

NPI: 1841418332
Provider Name: GULF COAST YOUTH SERVICES

Doing Business As: OKALOOSA YOUTH ACADEMY

Classification: Custodial Care Facility - 311Z00000X
Entity Type: Organization
Address:
4455 STRAIGHT LINE RD
CRESTVIEW, FL
ZIP 32539
Phone: (850) 863-4160
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GULF COAST YOUTH SERVICES is a custodial care facility in Crestview, FL. The provider is 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 of medication that usually can be self-administered. Custodial care essentially is personal care that does not require the continuing attention of trained medical or paramedical personnel. GULF COAST YOUTH SERVICES NPI is 1841418332. The provider is registered as an organization entity type.
The provider Is Doing Business As Okaloosa Youth Academy.

The provider's business location address is:

4455 STRAIGHT LINE RD
CRESTVIEW, FL
ZIP 32539-720
Phone: (850) 863-4160

The provider's authorized official is Jeffrey Kaplan .
The authorized official title is Ceo and has the following contact phone number (850) 863-4160.

The enumeration date for this NPI number is 4/23/2007 and was last updated on 8/22/2020.


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
1311Z00000XCustodial Care Facility260390701652FLORIDAYes

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

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