Organization
EMERALD COAST SUPPORT COORDINATORS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. BARBARA BAKER THOMAS (PRESIDENT/ADMINISTRATOR)
(850) 862-7038
Entity
Organization
Contact information
Practice address
218 GREEN ACRES ROAD, SUITE 800, FORT WALTON BEACH, FL 32547-7006
(850) 862-7038
(850) 862-5089
Mailing address
218 GREEN ACRES ROAD, SUITE 800, FORT WALTON BEACH, FL 32547-7006
(850) 862-7038
(850) 862-5089
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
FL
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
673620368
—
FL
05
—
673620396
—
FL
05
—
673620398
—
FL
Enumeration date
08/22/2006
Last updated
04/19/2023
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