Individual provider · Type 1 NPI
Kim Chancellor
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Loxahatchee, FL
Practice location
13052 Compton Rd
Loxahatchee, FL 33470-4714
Fax (561) 795-3014
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Developmental Disabilities Clinic/Center | 261QD1600X | None listed |
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary | 320900000X | None 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.
2 other providers at this address
About NPI 1134603152
Kim Chancellor's National Provider Identifier is 1134603152, issued on Sep 17, 2018. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (320900000X), and the practice location is in Loxahatchee, FL. The record was last updated on Sep 17, 2018.