Provider Demographics
NPI:1316196819
Name:SYLVIA THOMAS CENTER FOR ADOPTIVE AND FOSTER FAMILIES, INC.
Entity type:Organization
Organization Name:SYLVIA THOMAS CENTER FOR ADOPTIVE AND FOSTER FAMILIES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:RENEE
Authorized Official - Middle Name:
Authorized Official - Last Name:WALKER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:813-651-3150
Mailing Address - Street 1:PO BOX 488
Mailing Address - Street 2:
Mailing Address - City:MANGO
Mailing Address - State:FL
Mailing Address - Zip Code:33550-0488
Mailing Address - Country:US
Mailing Address - Phone:813-651-3150
Mailing Address - Fax:813-651-3507
Practice Address - Street 1:716 S OAKWOOD AVE
Practice Address - Street 2:
Practice Address - City:BRANDON
Practice Address - State:FL
Practice Address - Zip Code:33511-6124
Practice Address - Country:US
Practice Address - Phone:813-651-3150
Practice Address - Fax:813-651-3507
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-09-09
Last Update Date:2008-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management