OrganizationActive
Suncoast New Options Walnut Street, LLC
NPI 1114509858 · Intellectual Disabilities Intermediate Care Facility · Starke, FL
Provider details
- NPI number
- 1114509858
- Entity type
- Organization
- Primary specialty
- Intellectual Disabilities Intermediate Care FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Mary Benson, Director of Billing(336) 553-5946
Specialties & taxonomies
Nursing & Custodial Care Facilities
Practice location
102 Alexander Rd
Starke, FL 32091-4521
Phone: (919) 390-2980
Approximate (ZIP-level) locationGet directions
Mailing address
6531 Meridien Dr Ste 103
Raleigh, NC 27616-3213
Registry dates
- Enumerated
- 2021-04-22
- Last updated
- 2021-04-22
- Certified
- 2021-04-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.