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

Space Coast Center for Independent Living

Organization Case Management Agency · NPI 1780913103

Space Coast Center for Independent Living is a Case Management Agency in Cocoa, Florida. Registered with an NPI since 2009.

In the registry since
2009

Practice location Address checks out

803 N Fiske Blvd Ste B
Cocoa, FL 32922-7323
Phone: (321) 633-6011
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Case Management Agency (primary) Taxonomy 251B00000X

Record details

NPI number1780913103
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jill Dunham-Cesario — Executive Director · (321) 633-6011
NPI enumeratedDecember 14, 2009
Last updated in NPPESDecember 14, 2009
Mailing address803 N Fiske Blvd, Suite B, Cocoa, FL 32922-7323

Other providers in Cocoa