Individual provider · Type 1 NPI

Michelle Marquez

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Tampa, FL

NPI number 1053064378 Active

Practice location

16306 Alladin Way
Tampa, FL 33624-1105

Call (813) 610-8687 Map

Fax (813) 962-2970

Specialties and licenses

TaxonomyCodeLicense
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary 320900000XNone 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.

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About NPI 1053064378

Michelle Marquez's National Provider Identifier is 1053064378, issued on Jan 27, 2022. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (320900000X), and the practice location is in Tampa, FL. The record was last updated on Jan 27, 2022.