NPI | 1265935191 |
---|---|
Doing Business As | LANGLEY HEALTH SERVICE |
Entity Type | Organization |
Authorized Contact | THOMAS CHASE CEO 352-793-5900 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) (Licence: FL HCC43) |
Enumeration Date | 2018-03-16 |
Last Update Date | 2020-12-14 |