Organization · Type 2 NPI

Larue Estates

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

NPI number 1124533948 Active

Practice location

8426 Delaware Ave
Jacksonville, FL 32208-2841

Call (904) 370-3575 Map

Fax (904) 683-0147

Specialties and licenses

TaxonomyCodeLicense
Home Health Agency 251E00000XNone listed
Community/Behavioral Health Agency 251S00000XNone listed
In Home Supportive Care Agency 253Z00000XNone listed
Mental Illness Community Based Residential Treatment Facility 320800000XNone listed
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary 320900000XNone listed
Child Intellectual and/or Developmental Disabilities Respite Care 385HR2060XNone 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 1124533948

Larue Estates's National Provider Identifier is 1124533948, issued on Dec 4, 2017. 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 Dec 4, 2017.