Organization
SAFE HARBOR FOR INDIVIDUAL WITH DISABILITIES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. TERESA YVETTE ALEXANDER (CASE MANAGER/CARE COORDINATOR)
(850) 973-4009
Entity
Organization
Contact information
Practice address
2315 NW LITTLE CAT RD, MADISON, FL 32340-4256
(850) 973-4009
Mailing address
2315 NW LITTLE CAT RD, MADISON, FL 32340-4256
(850) 973-4009
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009552100
—
FL
Enumeration date
12/16/2015
Last updated
12/17/2015
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