Organization
THE ARC OF INDIAN RIVER COUNTY INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHARLES A. BRADLEY (EXECUTIVE DIRECTOR)
(772) 562-6854
Entity
Organization
Contact information
Practice address
1375 16TH AVE, VERO BEACH, FL 32960
(772) 562-6854
(772) 562-6063
Mailing address
1375 16TH AVE, VERO BEACH, FL 32960
(772) 562-6854
(772) 562-6063
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
F491626205004
FL
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
F491626205004
FL
251S00000X
Community/Behavioral Health Agency
F491626205004
FL
253Z00000X
In Home Supportive Care Agency
F491626205004
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
024751196
—
FL
05
—
024751198
—
FL
Enumeration date
09/01/2006
Last updated
08/07/2015
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