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Contact Information

CAMELOT COMMUNITY CARE, INC
1410 TECH BLVD
TAMPA, FL33619-7865
 Phone: 813-635-9765
 Fax: 813-635-9725
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Foster Care Agency

253J00000X
 

Community/Behavioral Health

251S00000X
Indicates primary specialty

NPI Profile & details for CAMELOT COMMUNITY CARE, INC

NPI Number 1639406093
LBN Legal business name CAMELOT COMMUNITY CARE, INC
Authorized official JANA ALLEN - (DIRECTOR OF AR)
Entity Organization
Organization subpart 1 No
Enumeration date 11/05/2009
Last updated 07/13/2021 - About 5 years ago
Identifiers
FL License # MH 7500
FL Medicaid 070590000
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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