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Organization

ECCI, LLC

Active
Other names
East Coast Contract Industries
Organization subpart
No

Provider details

NPI number
Authorized official
MR. KENNETH H. SCHULTZ (PRESIDENT)
(407) 645-3211
Entity
Organization

Contact information

Practice address
3550 S WASHINGTON AVE, SUITE 6, TITUSVILLE, FL 32780-8627
(321) 268-4388
(321) 278-0821
Mailing address
1890 STATE ROAD 436, SUITE 300, WINTER PARK, FL 32792-2285
(407) 645-3211
(407) 628-2853

Taxonomy

Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
F001
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
675364796
FL
Enumeration date
02/07/2007
Last updated
07/21/2022
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