Individual provider · Type 1 NPI

Mandie Espino

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

NPI number 1316634892 Active

Practice location

563 Pachman Cir
Lehigh Acres, FL 33974-9483

Call (239) 839-2983 Map

Fax (239) 320-5117

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 1316634892

Mandie Espino's National Provider Identifier is 1316634892, issued on Apr 24, 2023. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (320900000X), and the practice location is in Lehigh Acres, FL. The record was last updated on Apr 24, 2023.