Individual provider · Type 1 NPI

Eddie Coleman

Day Training/Habilitation Specialist · Lodi, CA

NPI number 1972184182 Active

Practice location

1111 W Tokay St
Lodi, CA 95240-3965

Call (925) 999-4119 Map

Specialties and licenses

TaxonomyCodeLicense
Community Health Worker 172V00000XNone listed
Day Training/Habilitation Specialist Primary 373H00000XNone listed

Day Training/Habilitation Specialist: Individuals experienced or trained in working with developmentally disabled individuals who need assistance in acquiring and maintaining life skills that enable them to cope more effectively with the demands of independent living.

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About NPI 1972184182

Eddie Coleman's National Provider Identifier is 1972184182, issued on Apr 19, 2021. The primary taxonomy on file is Day Training/Habilitation Specialist (373H00000X), and the practice location is in Lodi, CA. The record was last updated on Aug 20, 2025.