Individual provider · Type 1 NPI
Katrina Harley
Child Intellectual and/or Developmental Disabilities Respite Care · Tavares, FL
NPI number
1043836455
Active
Practice location
5024 Grassy Knoll Dr
Tavares, FL 32778-6211
Fax (352) 609-2097
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Child Intellectual and/or Developmental Disabilities Respite Care Primary | 385HR2060X | None listed |
Child Intellectual and/or Developmental Disabilities Respite Care: A facility or distinct part of a facility that provides short term, residential care to children diagnosed with intellectual and/or developmental disabilities as respite for the regular caregivers.
Another provider at this address
About NPI 1043836455
Katrina Harley's National Provider Identifier is 1043836455, issued on Jun 22, 2020. The primary taxonomy on file is Child Intellectual and/or Developmental Disabilities Respite Care (385HR2060X), and the practice location is in Tavares, FL. The record was last updated on Jun 22, 2020.