Individual provider · Type 1 NPI
Rebecca Smith
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · South Daytona, FL
Practice location
140 Dolphin Fleet Cir Apt 208
South Daytona, FL 32119-9041
Mailing address
390 River Street
Springfield, VT 05156-2226
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.
Another provider at this address
About NPI 1174369987
Rebecca Smith's National Provider Identifier is 1174369987, issued on Jul 2, 2024. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (320900000X), and the practice location is in South Daytona, FL. The record was last updated on Jun 22, 2026.