Individual provider · Type 1 NPI

Rebecca Smith

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

NPI number 1174369987 Active

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

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.