Individual provider · Type 1 NPI
Audrah Hyatt
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Orange Park, FL
Practice location
767 Blanding Blvd Ste 110B
Orange Park, FL 32065-5788
Fax (904) 203-7302
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.
2 other providers at this address
About NPI 1194484295
Audrah Hyatt's National Provider Identifier is 1194484295, issued on Dec 16, 2021. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (320900000X), and the practice location is in Orange Park, FL. The record was last updated on Dec 16, 2021.