Individual provider · Type 1 NPI
Patience Imhansiemhonehi
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Daytona Beach, FL
Practice location
1400 Jackson Ave
Daytona Beach, FL 32117-1318
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| 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.
About NPI 1144877762
Patience Imhansiemhonehi's National Provider Identifier is 1144877762, issued on Aug 19, 2019. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (320900000X), and the practice location is in Daytona Beach, FL. The record was last updated on Aug 19, 2019.