Individual provider · Type 1 NPI
David E. Daxon
Intellectual and/or Developmental Disabilities Residential Treatment Facility · St. Petersburg, FL
Practice location
1768 30th St S
St. Petersburg, FL 33712-2536
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| In Home Supportive Care Agency | 253Z00000X | None listed |
| Case Manager/Care Coordinator | 171M00000X | None listed |
| Assisted Living Facility (Behavioral Disturbances) | 3104A0630X | None listed |
| Intellectual and/or Developmental Disabilities Residential Treatment Facility Primary | 320600000X | None listed |
Intellectual and/or Developmental Disabilities Residential Treatment Facility: A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.
Other intellectual and/or developmental disabilities residential treatment facility providers in St. Petersburg
About NPI 1235883547
David E. Daxon's National Provider Identifier is 1235883547, issued on Feb 6, 2022. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Residential Treatment Facility (320600000X), and the practice location is in St. Petersburg, FL. The record was last updated on Feb 6, 2022.