Individual provider · Type 1 NPI
Vanisha Bennett
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Greenville, SC
Practice location
305 Shada Ln
Greenville, SC 29611-2068
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.
Another provider at this address
About NPI 1508481607
Vanisha Bennett's National Provider Identifier is 1508481607, issued on Jun 15, 2020. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (320900000X), and the practice location is in Greenville, SC. The record was last updated on Jun 15, 2020.