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Suncoast New Options Walnut Street, Llc
Intellectual Disabilities Intermediate Care Facility in Starke, Florida
NPI 1114509858

Suncoast New Options Walnut Street, Llc is a Intellectual Disabilities Intermediate Care Facility based in Raleigh, FL. Suncoast New Options Walnut Street, Llc practices in Starke, FL. The NPI Number for Suncoast New Options Walnut Street, Llc is 1114509858 and holds a License No. (Florida).

The current practice location address for Suncoast New Options Walnut Street, Llc is 102 Alexander Rd, Starke, FL and can be reached out via phone at 919-390-2980.

Location: 102 Alexander Rd, Starke, FL, 27616-3213
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1114509858
Provider Name
Suncoast New Options Walnut Street, Llc
Credential
Provider Entity Type
Organization
Address
102 Alexander Rd, Starke, FL, 27616-3213
Phone Number
919-390-2980
Fax Number
Provider Enumeration Date
04/22/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
102 Alexander Rd
City
Starke
State
Florida
Zip
32091-4521
Phone Number
919-390-2980
Fax Number
person
Provider Business Mailing Address Details
Address
102 Alexander Rd
City
Starke
State
Florida
Zip
32091-4521
Phone Number
919-390-2980
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Intermediate Care Facility, Mentally Retarded
Speciality
-
Taxonomy
315P00000X
License No.
()
Definition
(1) A public institution for care of the mentally retarded or people with related conditions. (2) An institution giving active treatment to mentally retarded or developmentally disabled persons or persons with related conditions. The primary purpose of the institution is to provide health or rehabilitative services to such individuals.
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