| Ridge Area Arc Inc | |
|
4352 Independence St Avon Park FL 33825-9300 | |
| (863) 452-1295 | |
| (863) 452-5244 |
| Full Name | Ridge Area Arc Inc |
|---|---|
| Speciality | Day Training, Developmentally Disabled Services |
| Location | 4352 Independence St, Avon Park, Florida |
| Authorized Official Name and Position | Kathleen Shannon Border (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 8634521295 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ridge Area Arc Inc 4352 Independence St Avon Park FL 33825-9300 Ph: (863) 452-1295 | Ridge Area Arc Inc 4352 Independence St Avon Park FL 33825-9300 Ph: (863) 452-1295 |
| NPI Number | 1194730986 |
|---|---|
| Provider Enumeration Date | 07/30/2006 |
| Last Update Date | 09/20/2024 |
| Certification Date | 09/20/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194730986 | NPI | - | NPPES |
| 024659098 | Medicaid | FL | |
| 024659096 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Secondary |
| 251C00000X | Day Training, Developmentally Disabled Services | (* (Not Available)) | Primary |
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