Organization
AGENCY FOR PERSONS WITH DISABILITIES
Active
Organization
AGENCY FOR PERSONS WITH DISABILITIES
Active
Other names
Sunland Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JEFFREY DAVID EGELSTON ED.D. (SUPERINTENDENT)
(850) 482-9210
Entity
Organization
Contact information
Practice address
3700 WILLIAMS DRIVE, MARIANNA, FL 32446
(850) 482-9220
(850) 718-0434
Mailing address
3700 WILLIAMS DRIVE, MARIANNA, FL 32446
(850) 482-9220
(850) 718-0434
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
011996204
—
FL
Enumeration date
12/12/2006
Last updated
09/30/2013
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