Individual provider · Type 1 NPI
Erica Denise Irvin
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Tavares, FL
Practice location
4681 Marsh Harbor Dr
Tavares, FL 32778
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary | 320900000X | None 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.
About NPI 1487173753
Erica Denise Irvin's National Provider Identifier is 1487173753, issued on Sep 18, 2017. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (320900000X), and the practice location is in Tavares, FL. The record was last updated on Jul 21, 2022.