Provider Demographics
NPI:1508161324
Name:DEVELOPING FUTURES CARE, INC.
Entity Type:Organization
Organization Name:DEVELOPING FUTURES CARE, INC.
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 1:1858 ALAMEDA DR
Practice Address - Street 2:
Practice Address - City:DELTONA
Practice Address - State:FL
Practice Address - Zip Code:32738-4967
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:2011-01-26
Last Update Date:2011-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL681533296320600000X
FL681533201320600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320600000XResidential Treatment FacilitiesResidential Treatment Facility, Intellectual and/or Developmental Disabilities
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL681533296Medicaid
FL681533201Medicaid