Individual provider · Type 1 NPI

Twanda Gano

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

NPI number 1467020875 Active

Practice location

3712 Patina Dr
Tampa, FL 33619-1252

Call (813) 455-5550 Map

Mailing address

PO Box 3690
Brandon, FL 33509-3690

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 1467020875

Twanda Gano's National Provider Identifier is 1467020875, issued on Jun 12, 2021. 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 Jun 12, 2021.