Individual provider · Type 1 NPI

Dora Maria Mejia, IN HOME SUPPORT

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

NPI number 1316437221 Active

Practice location

1020 W Busch Blvd
Tampa, FL 33612-7704

Fax (813) 252-9688

Other practice locations

  • 6518 Dovewood Pl, Tampa, FL 33634-4923 · (813) 531-0360

Specialties and licenses

TaxonomyCodeLicense
Pharmacy Technician 183700000XNone listed
Custodial Care Facility 311Z00000XNone 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 1316437221

Dora Maria Mejia, IN HOME SUPPORT's National Provider Identifier is 1316437221, issued on May 16, 2018. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (320900000X), and the practice location is in Tampa, FL. The record was last updated on Apr 5, 2019.