Suncoast New Options Oval Drive, LLC
NPI #1104407444 in Casselberry, Florida
Provider Information
- NPI Number
- 1104407444
- Entity Type
- Organization
- Organization Name
- Suncoast New Options Oval Drive, LLC
- Primary Specialty
- Intermediate Care Facility, Intellectual Disabilities
- Enumeration Date
- Apr 19, 2021
- Last Updated
- Apr 19, 2021
Practice Location
- Address
- 247 PLAZA OVAL
- City
- Casselberry
- State
- Florida
- ZIP Code
- 32707-2934
- Phone
- (919) 390-2980
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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