Healthcare Provider Details

I. General information

NPI: 1649048026
Provider Name (Legal Business Name): SAINT HOWARD DAY CENTER LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/15/2023
Last Update Date: 12/15/2023
Certification Date: 12/15/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

221 STRAWBERRY OAKS DR STE 1000
ORANGE CITY FL
32763-7456
US

IV. Provider business mailing address

1038 LAKE BERKLEY DR
KISSIMMEE FL
34746-6127
US

V. Phone/Fax

Practice location:
  • Phone: 772-475-1463
  • Fax:
Mailing address:
  • Phone: 772-475-1463
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. CATHY STEVENS
Title or Position: OWNER
Credential:
Phone: 772-475-1463