Organization
THE ARC OF INDIAN RIVER COUNTY INC.
Active
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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