Organization
RIDGE AREA ARC INC
Active
Other names
Ridge Area Arc, Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
KATHLEEN SHANNON BORDER (CHIEF EXECUTIVE OFFICER)
(863) 452-1295
Entity
Organization
Contact information
Practice address
4352 INDEPENDENCE ST, AVON PARK, FL 33825-9300
(863) 452-1295
(863) 452-5244
Mailing address
4352 INDEPENDENCE ST, AVON PARK, FL 33825-9300
(863) 452-1295
(863) 452-5244
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
024659096
—
FL
05
—
024659098
—
FL
Enumeration date
07/30/2006
Last updated
09/20/2024
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