Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Northeast Support Coordination Services Inc

Organization Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · NPI 1972256790

Northeast Support Coordination Services Inc is an Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Jacksonville, Florida. Registered with an NPI since 2022.

In the registry since
2022
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1545 Charon Rd
Jacksonville, FL 32205-9201
Phone: (904) 387-2741
Fax: (904) 387-4774
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (primary) Taxonomy 320900000X

Record details

NPI number1972256790
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Betty Daigger — Co-Owner · (904) 387-2741
Other names Northeast Support Coordination Services
NPI enumeratedFebruary 1, 2022
Last updated in NPPESFebruary 1, 2022
Certification dateFebruary 1, 2022
Mailing address1545 Charon Rd, Jacksonville, FL 32205-9201

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