Organization
EAST COAST HABILITATION OPTIONS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARYANN REITER (COO)
(386) 983-2348
Entity
Organization
Contact information
Practice address
17 BUFFALO PLAINS LN, PALM COAST, FL 32137-9458
(386) 264-6953
(386) 264-6136
Mailing address
17 BUFFALO PLAINS LN, PALM COAST, FL 32137-9458
(386) 264-6953
(386) 264-6136
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008197400
—
FL
Enumeration date
08/06/2013
Last updated
08/06/2013
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