NPI 1104407444
Suncoast New Options Oval Drive, LLC
Practice location
- Address
- 247 Plaza Oval, Casselberry, FL 32707-2934
- 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
Registry record
- NPI
- 1104407444
- Entity type
- Organization
- NPI issued
- 19 Apr 2021
- Record last updated
- 19 Apr 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.