Easterseals Northeast Central Florida, Inc. | |
3389 N State St Unit 1 Bunnell FL 32110-4340 | |
(386) 255-4568 | |
(386) 258-7677 |
Full Name | Easterseals Northeast Central Florida, Inc. |
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Speciality | Community/behavioral Health |
Location | 3389 N State St Unit 1, Bunnell, Florida |
Authorized Official Name and Position | Michele Wallens (ACCOUNTING MANAGER) |
Authorized Official Contact | 3862554568 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Easterseals Northeast Central Florida, Inc. 1219 Dunn Ave Daytona Beach FL 32114-2405 Ph: (386) 255-4568 | Easterseals Northeast Central Florida, Inc. 3389 N State St Unit 1 Bunnell FL 32110-4340 Ph: (386) 255-4568 |
NPI Number | 1689448987 |
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Provider Enumeration Date | 11/08/2023 |
Last Update Date | 11/08/2023 |
Certification Date | 11/08/2023 |
Identifier | Type | State | Issuer |
---|---|---|---|
1689448987 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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