Provider Demographics
NPI:1477874089
Name:FEAGIN, INC
Entity Type:Organization
Organization Name:FEAGIN, INC
Other - Org Name:MANAGEMENT RESOURCE CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:DARRELL
Authorized Official - Middle Name:L
Authorized Official - Last Name:FEAGIN
Authorized Official - Suffix:
Authorized Official - Credentials:BS
Authorized Official - Phone:850-251-2567
Mailing Address - Street 1:PO BOX 4326
Mailing Address - Street 2:
Mailing Address - City:TALLAHASSEE
Mailing Address - State:FL
Mailing Address - Zip Code:32315-4326
Mailing Address - Country:US
Mailing Address - Phone:185-025-1256
Mailing Address - Fax:
Practice Address - Street 1:1402 GOLDEN PARK CT
Practice Address - Street 2:
Practice Address - City:TALLAHASSEE
Practice Address - State:FL
Practice Address - Zip Code:32303-3697
Practice Address - Country:US
Practice Address - Phone:185-025-1256
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-06-17
Last Update Date:2010-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management