Individual provider · Type 1 NPI

Trina Hagins

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

NPI number 1073105904 Active

Practice location

3770 Toledo Rd Apt 82
Jacksonville, FL 32217-3327

Call (904) 864-0890 Map

Specialties and licenses

TaxonomyCodeLicense
Attendant Care Provider 3747A0650X237231 (FL)
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 1073105904

Trina Hagins's National Provider Identifier is 1073105904, issued on Feb 11, 2021. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (320900000X), and the practice location is in Jacksonville, FL. The record was last updated on Sep 28, 2021.