Individual provider · Type 1 NPI
Alexcia Bennett
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Macclenny, FL
Practice location
505 Matecumbe Ct
Macclenny, FL 32063-8832
Mailing address
7645 Gate Pkwy Ste 104-1425
Jacksonville, FL 32256-2889
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Community Health Worker | 172V00000X | None listed |
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary | 320900000X | None listed |
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility: A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.
Another provider at this address
About NPI 1003637588
Alexcia Bennett's National Provider Identifier is 1003637588, issued on Oct 18, 2024. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (320900000X), and the practice location is in Macclenny, FL. The record was last updated on Oct 18, 2024.