Provider Demographics
NPI:1316242696
Name:DEVELOPING FUTURES CARE, IN.
Entity type:Organization
Organization Name:DEVELOPING FUTURES CARE, IN.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MISS
Authorized Official - First Name:MICHELLE
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:MCCALL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:386-717-1808
Mailing Address - Street 1:1730 COROLLA CT
Mailing Address - Street 2:
Mailing Address - City:DELTONA
Mailing Address - State:FL
Mailing Address - Zip Code:32738-4123
Mailing Address - Country:US
Mailing Address - Phone:386-532-2331
Mailing Address - Fax:386-532-2331
Practice Address - Street 1:1730 COROLLA CT
Practice Address - Street 2:
Practice Address - City:DELTONA
Practice Address - State:FL
Practice Address - Zip Code:32738-4123
Practice Address - Country:US
Practice Address - Phone:386-532-2331
Practice Address - Fax:386-532-2331
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-01-19
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL261QD1600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD1600XAmbulatory Health Care FacilitiesClinic/CenterDevelopmental Disabilities
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL1033107602Medicaid