Provider Demographics
NPI:1023493756
Name:CARC - ADVOCATES FOR CITIZENS WITH DISABILITIES, INC.
Entity type:Organization
Organization Name:CARC - ADVOCATES FOR CITIZENS WITH DISABILITIES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FINANCE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:AIMEE
Authorized Official - Middle Name:C
Authorized Official - Last Name:HUNTER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:386-752-1880
Mailing Address - Street 1:512 SW SISTERS WELCOME RD
Mailing Address - Street 2:
Mailing Address - City:LAKE CITY
Mailing Address - State:FL
Mailing Address - Zip Code:32025-0752
Mailing Address - Country:US
Mailing Address - Phone:386-752-1880
Mailing Address - Fax:386-758-2031
Practice Address - Street 1:512 SW SISTERS WELCOME RD
Practice Address - Street 2:
Practice Address - City:LAKE CITY
Practice Address - State:FL
Practice Address - Zip Code:32025-0752
Practice Address - Country:US
Practice Address - Phone:386-752-1880
Practice Address - Fax:386-758-2031
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-07-23
Last Update Date:2015-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL251C00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL023860196Medicaid