Individual provider · Type 1 NPI

Toni Lynn Peacock

Intellectual and/or Developmental Disabilities Residential Treatment Facility · Marianna, FL

NPI number 1093684177 Active

Practice location

3123 Lynny Ln
Marianna, FL 32446-6862

Fax (850) 718-7585

Mailing address

2587 Heavenly Dr
Marianna, FL 32448-6625

Specialties and licenses

TaxonomyCodeLicense
Intellectual and/or Developmental Disabilities Residential Treatment Facility Primary 320600000XA-09-32-3123 (FL)

Intellectual and/or Developmental Disabilities Residential Treatment Facility: A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.

About NPI 1093684177

Toni Lynn Peacock's National Provider Identifier is 1093684177, issued on Nov 5, 2025. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Residential Treatment Facility (320600000X), and the practice location is in Marianna, FL. The record was last updated on Nov 5, 2025.