NPI 1750962213
Suncoast New Options 107th Place, LLC
Practice location
- Address
- 5321 SE 107th Pl, Belleview, FL 34420-3231
- 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
- 1750962213
- Entity type
- Organization
- NPI issued
- 16 Apr 2021
- Record last updated
- 16 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.