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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