Organization Name: | EASTER SEAL SOCIETY |
NPI Number: | 1336203702 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | LYNN SINNOT (DIRECTOR) |
Mailing Address: | 1219 Dunn Ave Daytona Beach |
State: | FL US |
Postal Code: | 321142405 |
Phone Number: | 3862554568 |
Fax Number: | |
NPI Enumeration Date: | 12/20/2006 |
NPI Last Update Date: | 10/03/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 251V00000X |
License Number: | OT 424 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | FL |
Taxonomy Type: | Agencies |
Taxonomy Classification: | Voluntary or Charitable |
Taxonomy Specialization: | |
Taxonomy Definition: |