Provider Demographics
NPI:1801420641
Name:SPECIAL NEEDS HOMES LLC.
Entity type:Organization
Organization Name:SPECIAL NEEDS HOMES LLC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:CHARLES
Authorized Official - Middle Name:
Authorized Official - Last Name:STADELMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:772-584-5522
Mailing Address - Street 1:803 11TH CT SW
Mailing Address - Street 2:
Mailing Address - City:VERO BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:32962-4431
Mailing Address - Country:US
Mailing Address - Phone:772-584-5522
Mailing Address - Fax:772-778-0279
Practice Address - Street 1:803 11TH CT SW
Practice Address - Street 2:
Practice Address - City:VERO BEACH
Practice Address - State:FL
Practice Address - Zip Code:32962-4431
Practice Address - Country:US
Practice Address - Phone:772-584-5522
Practice Address - Fax:772-778-0279
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-03-02
Last Update Date:2020-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes347E00000XTransportation ServicesTransportation Broker