| Easterseals Northeast Central Florida, Inc. | |
|
650 W New York Ave Deland FL 32720-5239 | |
| (386) 255-4568 | |
| (386) 258-7677 |
| Full Name | Easterseals Northeast Central Florida, Inc. |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 650 W New York Ave, Deland, 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. 650 W New York Ave Deland FL 32720-5239 Ph: (386) 255-4568 |
| NPI Number | 1710715727 |
|---|---|
| Provider Enumeration Date | 07/22/2024 |
| Last Update Date | 07/22/2024 |
| Certification Date | 07/22/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710715727 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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