Individual provider · Type 1 NPI
Kaidra Quantai Thonpkins
Child Intellectual and/or Developmental Disabilities Respite Care · Hawthonre, FL
Practice location
118 Thistle Trl
Hawthonre, FL 32604
Mailing address
118 Thistle Trl
Hawthorne, FL 32640-5810
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Child Intellectual and/or Developmental Disabilities Respite Care Primary | 385HR2060X | L19000048624 (FL) |
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.
About NPI 1114581907
Kaidra Quantai Thonpkins's National Provider Identifier is 1114581907, issued on Apr 26, 2019. The primary taxonomy on file is Child Intellectual and/or Developmental Disabilities Respite Care (385HR2060X), and the practice location is in Hawthonre, FL. The record was last updated on Apr 26, 2019.