Provider Demographics
NPI:1851045215
Name:THE ARC OF THE GLADES, INC.
Entity Type:Organization
Organization Name:THE ARC OF THE GLADES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:DEBBIE
Authorized Official - Middle Name:GIBSON
Authorized Official - Last Name:LEE-THOMASSET
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:561-996-9583
Mailing Address - Street 1:4250 NW 16TH ST
Mailing Address - Street 2:
Mailing Address - City:BELLE GLADE
Mailing Address - State:FL
Mailing Address - Zip Code:33430-5962
Mailing Address - Country:US
Mailing Address - Phone:561-996-9583
Mailing Address - Fax:
Practice Address - Street 1:4250 NW 16TH ST
Practice Address - Street 2:
Practice Address - City:BELLE GLADE
Practice Address - State:FL
Practice Address - Zip Code:33430-5962
Practice Address - Country:US
Practice Address - Phone:561-996-9583
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-02-04
Last Update Date:2022-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services