Easterseals Northeast Central Florida, INC.
Community/Behavioral Health in Daytona Beach, FL. Organization (NPI-2).
NPI number1164030532
StatusActive
Last updated in NPPESJul 21, 2020
Details
- NPI
- 1164030532
- Entity type
- Organization (NPI-2)
- Legal business name
- Easterseals Northeast Central Florida, INC.
- Organization subpart
- No
- Enumeration date
- Jul 21, 2020
- Certification date
- Jul 21, 2020
- Last updated
- Jul 21, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 251S00000X | Community/Behavioral Health | – | – | Yes |
Practice location
1219 Dunn AveDaytona Beach, FL 32114-2405
Phone 386-944-7805
Mailing address
1219 Dunn AveDaytona Beach, FL 32114-2405
Phone 386-944-7805
Authorized official
Michele Wallens
Accounting Manager
3862554568
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