Individual provider · Type 1 NPI

Stephanie Dortch

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

NPI number 1316432230 Active

Practice location

7464 Little Pond Ct
Orlando, FL 32810-6051

Call (321) 304-0849 Map

Specialties and licenses

TaxonomyCodeLicense
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 1316432230

Stephanie Dortch's National Provider Identifier is 1316432230, issued on Jun 23, 2018. 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 Jun 23, 2018.