Suncoast New Options Walnut Street, LLC
NPI #1013581859 in Starke, Florida
Provider Information
- NPI Number
- 1013581859
- Entity Type
- Organization
- Organization Name
- Suncoast New Options Walnut Street, LLC
- Primary Specialty
- Intermediate Care Facility, Intellectual Disabilities
- Enumeration Date
- May 17, 2021
- Last Updated
- May 17, 2021
Practice Location
Authorized Official
- Name
- MARY JOHNS BENSON
- Title
- DIRECTOR OF BILLING
- Phone
- (336) 553-5946
Specialties & Taxonomy Codes
| Specialty |
|---|
| Intermediate Care Facility, Intellectual Disabilities |
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