NPI 1083026470

Meridian Behavioral Healthcare INC.

Organisation Preferred Provider Organization Lake City, FL

Practice location

Address: 518 NE Taylor Ave, Lake City, FL 32055-2909
Phone: (386) 288-3725

Authorised official

Name: Veneka Underwood
Title: Certified Nursing Assistant
Phone: (386) 288-3725

Registered specialties

Preferred Provider Organization Primary

Managed Care Organizations Taxonomy 305R00000X

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Registry record

NPI: 1083026470
Entity type: Organization
NPI issued: 20 May 2014
Record last updated: 20 May 2014

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.