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Northeast Support Coordination Services Inc
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Jacksonville, Florida
NPI 1972256790

Northeast Support Coordination Services Inc is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility based in Jacksonville, FL. Northeast Support Coordination Services Inc practices in Jacksonville, FL. The NPI Number for Northeast Support Coordination Services Inc is 1972256790 and holds a License No. (Florida).

The current practice location address for Northeast Support Coordination Services Inc is 1545 Charon Rd, Jacksonville, FL and can be reached out via phone at 904-387-2741 and via fax at 904-387-4774.

Location: 1545 Charon Rd, Jacksonville, FL, 32205-9201
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1972256790
Provider Name
Northeast Support Coordination Services Inc
Credential
Provider Entity Type
Organization
Address
1545 Charon Rd, Jacksonville, FL, 32205-9201
Phone Number
904-387-2741
Fax Number
904-387-4774
Provider Enumeration Date
02/01/2022
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
1545 Charon Rd
City
Jacksonville
State
Florida
Zip
32205-9201
Phone Number
904-387-2741
Fax Number
904-387-4774
person
Provider Business Mailing Address Details
Address
1545 Charon Rd
City
Jacksonville
State
Florida
Zip
32205-9201
Phone Number
904-387-2741
Fax Number
904-387-4774
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Speciality
-
Taxonomy
320900000X
License No.
()
Definition
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.
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