Provider Demographics
NPI:1821619214
Name:EXCEPTIONAL CARE OF THE TREASURE COAST, INC
Entity Type:Organization
Organization Name:EXCEPTIONAL CARE OF THE TREASURE COAST, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:YOLANDA
Authorized Official - Middle Name:YVETTE
Authorized Official - Last Name:TURNER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:772-501-3033
Mailing Address - Street 1:PO BOX 650075
Mailing Address - Street 2:
Mailing Address - City:VERO BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:32965-0075
Mailing Address - Country:US
Mailing Address - Phone:772-501-3033
Mailing Address - Fax:772-217-2199
Practice Address - Street 1:101 N US HIGHWAY 1 STE 210
Practice Address - Street 2:
Practice Address - City:FORT PIERCE
Practice Address - State:FL
Practice Address - Zip Code:34950-4262
Practice Address - Country:US
Practice Address - Phone:772-501-3033
Practice Address - Fax:772-217-2199
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-04-27
Last Update Date:2023-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
No251C00000XAgenciesDay Training, Developmentally Disabled Services
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL000449300Medicaid