Individual provider · Type 1 NPI

Pamela Yvetta Smith

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

NPI number 1306449707 Active

Practice location

4214 Cypress Glades Ln
Orlando, FL 32824-7417

Call (407) 312-4779 Map

Other practice locations

  • 8865 Commodity Cir Ste 13-113, Orlando, FL 32819-9078 · (407) 883-0987

Specialties and licenses

TaxonomyCodeLicense
Home Health Agency 251E00000XNone listed
Adult Companion 372600000XNone listed
Homemaker 376J00000XNone listed
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary 320900000XNone 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.

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About NPI 1306449707

Pamela Yvetta Smith's National Provider Identifier is 1306449707, issued on Nov 18, 2020. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (320900000X), and the practice location is in Orlando, FL. The record was last updated on Sep 10, 2021.