NPI | 1407191299 |
---|---|
Doing Business As | LANGLEY HEALTH SERVICES |
Entity Type | Organization |
Authorized Contact | THOMAS CHASE CEO 352-793-5900 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Additional Taxonomies | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: FL PH26437) |
Enumeration Date | 2012-12-05 |
Last Update Date | 2021-08-20 |