Organization
EMERALD COAST COMPANION SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ESTELLETTA WASHINGTON (OWNER)
(209) 688-8701
Entity
Organization
Contact information
Practice address
7120 HEATHER OAKS DR, PENSACOLA, FL 32506-3893
(209) 688-8701
Mailing address
7120 HEATHER OAKS DR, PENSACOLA, FL 32506-3893
(209) 688-8701
Taxonomy
Speciality
Code
Description
License number
State
261QD1600X
Developmental Disabilities Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
017873200
—
FL
Enumeration date
07/13/2017
Last updated
07/21/2022
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