Provider Demographics
NPI:1700187697
Name:OUT AND ABOUT PEOPLE, INC
Entity Type:Organization
Organization Name:OUT AND ABOUT PEOPLE, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/EXECUTIVE DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:FREDIA
Authorized Official - Middle Name:LASHEL
Authorized Official - Last Name:BACKMAN
Authorized Official - Suffix:
Authorized Official - Credentials:PROVIDER
Authorized Official - Phone:904-347-3480
Mailing Address - Street 1:98B MASTERS DR
Mailing Address - Street 2:
Mailing Address - City:ST AUGUSTINE
Mailing Address - State:FL
Mailing Address - Zip Code:32084-3133
Mailing Address - Country:US
Mailing Address - Phone:904-827-9745
Mailing Address - Fax:904-827-9745
Practice Address - Street 1:98B MASTERS DR
Practice Address - Street 2:
Practice Address - City:SAINT AUGUSTINE
Practice Address - State:FL
Practice Address - Zip Code:32084-3133
Practice Address - Country:US
Practice Address - Phone:904-827-9745
Practice Address - Fax:904-827-9745
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-11-08
Last Update Date:2010-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL679240596Medicaid