Individual provider · Type 1 NPI

Stephani Fauerbach

Intellectual and/or Developmental Disabilities Residential Treatment Facility · Tampa, FL

NPI number 1295188142 Active

Practice location

3809 N Tampa St
Tampa, FL 33603-4743

Call (813) 872-6250 Map

Fax (813) 872-6078

Specialties and licenses

TaxonomyCodeLicense
Intellectual and/or Developmental Disabilities Residential Treatment Facility Primary 320600000XNone 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.

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About NPI 1295188142

Stephani Fauerbach's National Provider Identifier is 1295188142, issued on Jul 15, 2016. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Residential Treatment Facility (320600000X), and the practice location is in Tampa, FL. The record was last updated on Jul 15, 2016.