Individual provider · Type 1 NPI
Dana Shivers
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Plant City, FL
Practice location
1503 Gotham Ct
Plant City, FL 33563-6918
Mailing address
PO Box 3419
Plant City, FL 33563-0008
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Private Vehicle | 347C00000X | None listed |
| Adult Companion | 372600000X | None listed |
| Child Intellectual and/or Developmental Disabilities Respite Care | 385HR2060X | None listed |
| Child Physical Disabilities Respite Care | 385HR2065X | None listed |
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary | 320900000X | None listed |
| In Home Supportive Care Agency | 253Z00000X | 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 1013437243
Dana Shivers's National Provider Identifier is 1013437243, issued on Jun 20, 2017. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (320900000X), and the practice location is in Plant City, FL. The record was last updated on Jun 20, 2017.