Organization
ASSOCIATION FOR RETARDED CITIZENS
Active
Other names
ARC Nassau
Organization subpart
No
Provider details
NPI number
Authorized official
MS. FAY JOHNSON (EXECUTIVE DIRECTOR)
(904) 225-9355
Entity
Organization
Contact information
Practice address
86051 HAMILTON ST, YULEE, FL 32097-2711
(904) 225-9355
(904) 225-9262
Mailing address
86051 HAMILTON ST, YULEE, FL 32097-2711
(904) 225-9355
(904) 225-9262
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
251C00000X
FL
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
F002
FL
253Z00000X
In Home Supportive Care Agency
F002
FL
347C00000X
Private Vehicle
F002
FL
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
F002
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
098929196
PROVIDER ID
FL
05
—
098929196
—
FL
05
—
098929198
—
FL
Enumeration date
12/19/2005
Last updated
07/21/2022
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