Individual provider · Type 1 NPI

Jessica Hilda Terrell

Child Physical Disabilities Respite Care · Reddick, FL

NPI number 1093361990 Active

Practice location

11600 NW 140th Pl
Reddick, FL 32686

Mailing address

PO Box 412
Lowell, FL 32663-0412

Specialties and licenses

TaxonomyCodeLicense
Child Physical Disabilities Respite Care Primary 385HR2065X235893 (FL)

Child Physical Disabilities Respite Care: A facility or distinct part of a facility that providers short term, residential care to children, diagnosed with complex or profound disabilities as respite for the regular caregivers.

About NPI 1093361990

Jessica Hilda Terrell's National Provider Identifier is 1093361990, issued on Aug 15, 2019. The primary taxonomy on file is Child Physical Disabilities Respite Care (385HR2065X), and the practice location is in Reddick, FL. The record was last updated on Aug 15, 2019.