Individual provider · Type 1 NPI
Lynn L. Beaver
Intellectual and/or Developmental Disabilities Residential Treatment Facility · Defuniak Springs, FL
Practice location
164 State Highway 83
Defuniak Springs, FL 32433-7428
Fax (850) 373-4906
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Intellectual and/or Developmental Disabilities Residential Treatment Facility Primary | 320600000X | S-2400 (FL) |
Intellectual and/or Developmental Disabilities Residential Treatment Facility: A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.
About NPI 1467935478
Lynn L. Beaver's National Provider Identifier is 1467935478, issued on Sep 14, 2018. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Residential Treatment Facility (320600000X), and the practice location is in Defuniak Springs, FL. The record was last updated on Jan 16, 2024.