| Easter Seals Florida, Inc. | |
|
2010 Crosby Way Winter Park FL 32792-4119 | |
| (407) 629-7881 | |
| (407) 629-4754 |
| Full Name | Easter Seals Florida, Inc. |
|---|---|
| Speciality | Clinic/center - Adult Day Care |
| Location | 2010 Crosby Way, Winter Park, Florida |
| Authorized Official Name and Position | Rikesha Blake (CFO) |
| Authorized Official Contact | 4076297881 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Easter Seals Florida, Inc. 2010 Crosby Way Winter Park FL 32792-4119 Ph: (407) 629-7881 | Easter Seals Florida, Inc. 2010 Crosby Way Winter Park FL 32792-4119 Ph: (407) 629-7881 |
| NPI Number | 1598881153 |
|---|---|
| Provider Enumeration Date | 03/22/2007 |
| Last Update Date | 03/21/2022 |
| Certification Date | 03/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598881153 | NPI | - | NPPES |
| 677108400 | Medicaid | FL | |
| 110726200 | Medicaid | FL | |
| 683166400 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Secondary |
| 261QA0600X | Clinic/center - Adult Day Care | (* (Not Available)) | Primary |
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