Easterseals Florida, INC.
Early Intervention Provider Agency in Palm Coast, FL. Organization (NPI-2).
NPI number1104768530
StatusActive
Last updated in NPPESApr 6, 2026
Details
- NPI
- 1104768530
- Entity type
- Organization (NPI-2)
- Legal business name
- Easterseals Florida, INC.
- Organization subpart
- No
- Enumeration date
- Apr 6, 2026
- Certification date
- Apr 6, 2026
- Last updated
- Apr 6, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 252Y00000X | Early Intervention Provider Agency | – | – | Yes |
Practice location
160 Cypress Point Pkwy Ste B205Palm Coast, FL 32164-8437
Phone 386-873-0365 · Fax 386-868-1929
Mailing address
125 N Ridgewood Ave Ste 300Daytona Beach, FL 32114-3284
Phone 386-944-7802
Authorized official
Rikesha Blake
Cfo
4072875185
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