Provider Demographics
NPI:1851902332
Name:VETERANS HEAT FACTORY, INC.
Entity Type:Organization
Organization Name:VETERANS HEAT FACTORY, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:GUS
Authorized Official - Middle Name:
Authorized Official - Last Name:GUADAGNINO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:352-238-6126
Mailing Address - Street 1:16230 AVIATION LOOP DR.
Mailing Address - Street 2:
Mailing Address - City:BROOKSVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:34604-6804
Mailing Address - Country:US
Mailing Address - Phone:352-650-1512
Mailing Address - Fax:352-799-4830
Practice Address - Street 1:16230 AVIATION LOOP DR.
Practice Address - Street 2:
Practice Address - City:BROOKSVILLE
Practice Address - State:FL
Practice Address - Zip Code:34604-6804
Practice Address - Country:US
Practice Address - Phone:352-650-1512
Practice Address - Fax:352-799-4830
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-08-10
Last Update Date:2020-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)