Easterseals Northeast Central Florida, Inc.
NPI #1164030532 in Daytona Beach, Florida
Provider Information
- NPI Number
- 1164030532
- Entity Type
- Organization
- Organization Name
- Easterseals Northeast Central Florida, Inc.
- Primary Specialty
- Community/Behavioral Health
- Enumeration Date
- Jul 21, 2020
- Last Updated
- Jul 21, 2020
Practice Location
- Address
- 1219 DUNN AVE
- City
- Daytona Beach
- State
- Florida
- ZIP Code
- 32114-2405
- Phone
- (386) 944-7805
Authorized Official
- Name
- MICHELE WALLENS
- Title
- ACCOUNTING MANAGER
- Phone
- (386) 255-4568
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community/Behavioral Health |
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