Individual provider · Type 1 NPI
Iesha Ann Jordan
Intellectual and/or Developmental Disabilities Residential Treatment Facility · Valrico, FL
Practice location
1329 Emerald Hill Way
Valrico, FL 33594-5027
Mailing address
3608 E Powhatan Ave
Tampa, FL 33610-3725
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Intellectual and/or Developmental Disabilities Residential Treatment Facility Primary | 320600000X | None listed |
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 1497545073
Iesha Ann Jordan's National Provider Identifier is 1497545073, issued on May 8, 2025. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Residential Treatment Facility (320600000X), and the practice location is in Valrico, FL. The record was last updated on May 8, 2025.