NPI 1013581859

Suncoast New Options Walnut Street, LLC

Organisation Intellectual Disabilities Intermediate Care Facility Starke, FL

Practice location

Address: 1370 S. Walnut Street, Starke, FL 32091
Phone: (919) 390-2980
Mailing address: 6531 Meridien Dr STE 103, Raleigh, NC 27616-3213

Authorised official

Name: Mary Johns Benson
Title: Director of Billing
Phone: (336) 553-5946

Registered specialties

Intellectual Disabilities Intermediate Care Facility Primary

Nursing & Custodial Care Facilities Taxonomy 315P00000X

Other Intermediate Care Facility, Intellectual Disabilities providers in Florida →

Registry record

NPI: 1013581859
Entity type: Organization
NPI issued: 17 May 2021
Record last updated: 17 May 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.