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Organization

SUNCOAST NEW OPTIONS HIGH DESERT COURT, LLC

Active
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Organization

SUNCOAST NEW OPTIONS HIGH DESERT COURT, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MARY JOHNS BENSON (DIRECTOR OF BILLING)
(336) 553-5946
Entity
Organization

Contact information

Practice address
11818 HIGH DESERT CT, JACKSONVILLE, FL 32218-3629
(919) 390-2980
Mailing address
6531 MERIDIEN DR STE 103, RALEIGH, NC 27616-3213

Taxonomy

Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary

Other

Enumeration date
04/23/2021
Last updated
04/23/2021
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