Organization · Type 2 NPI

Northeast Support Coordination Services Inc

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Jacksonville, FL

NPI number 1972256790 Active

Practice location

1545 Charon Rd
Jacksonville, FL 32205-9201

Call (904) 387-2741 Map

Fax (904) 387-4774

Specialties and licenses

TaxonomyCodeLicense
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary 320900000XNone listed

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility: A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.

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About NPI 1972256790

Northeast Support Coordination Services Inc's National Provider Identifier is 1972256790, issued on Feb 1, 2022. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (320900000X), and the practice location is in Jacksonville, FL. The record was last updated on Feb 1, 2022.