Individual provider · Type 1 NPI
Sophia Rucker-Geffrard
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Miami Gardens, FL
Practice location
3490 NW 200th Ter
Miami Gardens, FL 33056-1786
Fax (877) 770-1197
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary | 320900000X | SO-11-1164-GH (FL) |
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.
Another provider at this address
About NPI 1417873340
Sophia Rucker-Geffrard's National Provider Identifier is 1417873340, issued on Jun 25, 2026. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (320900000X), and the practice location is in Miami Gardens, FL. The record was last updated on Jun 25, 2026.