Provider Demographics
NPI:1285693747
Name:A.F.I.R.E. OF PASCO COUNTY, INC.
Entity type:Organization
Organization Name:A.F.I.R.E. OF PASCO COUNTY, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:DENISE
Authorized Official - Middle Name:
Authorized Official - Last Name:HAYSTRAND
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:727-849-8982
Mailing Address - Street 1:PO BOX 933
Mailing Address - Street 2:
Mailing Address - City:ELFERS
Mailing Address - State:FL
Mailing Address - Zip Code:34680-0933
Mailing Address - Country:US
Mailing Address - Phone:727-849-8982
Mailing Address - Fax:727-817-1592
Practice Address - Street 1:7540 RIDGE RD
Practice Address - Street 2:
Practice Address - City:PORT RICHEY
Practice Address - State:FL
Practice Address - Zip Code:34668-7028
Practice Address - Country:US
Practice Address - Phone:727-849-7898
Practice Address - Fax:727-817-1592
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-03-22
Last Update Date:2022-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
251C00000X
FL251C00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services