Organization
DAISY ADAMS CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SHANE MORAN (ADMINISTRATOR)
(904) 826-0424
Entity
Organization
Contact information
Practice address
1735 STATE ROAD 16, SUITE 2, ST AUGUSTINE, FL 32084-0807
(904) 826-0424
(904) 824-0421
Mailing address
1735 STATE ROAD 16, SUITE 2, ST AUGUSTINE, FL 32084-0807
(904) 826-0424
(904) 824-0421
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
9500021574
FL
Other
Enumeration date
07/13/2006
Last updated
08/22/2020
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