Easterseals Northeast Central Florida, Inc.

LBN: Easterseals Northeast Central Florida, Inc.
Easterseals Northeast Central Florida, Inc. is an health care organization with primary practice located at 1219 Dunn Ave , Daytona Beach FL 32114-2405. The organization recently has only one registered license in Agencies / Early Intervention Provider Agency, which is considered as the primary health care specialty. Easterseals Northeast Central Florida, Inc. can be contacted via phone (386) 944-7805, or through Wallens, Michele via phone (386) 255-4568.

Contact Information

Primary practice address
1219 Dunn Ave Daytona Beach FL 32114-2405
Phone: (386) 944-7805
Fax: (386) 258-7677
Website:
Map and Directions
Authorized official contact:
Name: Wallens, Michele
Phone: (386) 255-4568

Health care specialties

SpecialtyCodeLicense #State
Agencies / Early Intervention Provider Agency 252Y00000X

Profile Details

NPI number 1073283347
LBN Legal business name Easterseals Northeast Central Florida, Inc.
DBA Doing business as
Authorized official Wallens, Michele
Entity Organization
Organization subpart 1 No
Enumeration date Sep 17th, 2021
Last updated Sep 17th, 2021 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1073283347 NPPES
Florida MEDICAID 012297200

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