Individual provider · Type 1 NPI
Mary Jenkins
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Hollywood, FL
Practice location
5726 Washington St
Hollywood, FL 33023-1480
Mailing address
15751 NW 28th Ct
Miami Gardens, FL 33054-2212
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| 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.
About NPI 1013413194
Mary Jenkins's National Provider Identifier is 1013413194, issued on Apr 5, 2018. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (320900000X), and the practice location is in Hollywood, FL. The record was last updated on Apr 5, 2018.