Organization · Type 2 NPI

Elianne D. Jerome

Intellectual and/or Developmental Disabilities Residential Treatment Facility · Brandon, FL

NPI number 1003107533 Active

Practice location

2158 Brandon Park Cir
Brandon, FL 33510-3946

Fax (813) 654-6886

Specialties and licenses

TaxonomyCodeLicense
Intellectual and/or Developmental Disabilities Residential Treatment Facility Primary 320600000X6905950 (FL)

Intellectual and/or Developmental Disabilities Residential Treatment Facility: A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.

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About NPI 1003107533

Elianne D. Jerome's National Provider Identifier is 1003107533, issued on May 2, 2011. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Residential Treatment Facility (320600000X), and the practice location is in Brandon, FL. The record was last updated on May 2, 2011.