Individual provider · Type 1 NPI
Tawana D. Lyons
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Racine, WI
Practice location
2332 Gilson St
Racine, WI 53403-3010
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary | 320900000X | 0018876 (WI) |
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 1558068874
Tawana D. Lyons's National Provider Identifier is 1558068874, issued on Feb 8, 2023. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (320900000X), and the practice location is in Racine, WI. The record was last updated on Feb 8, 2023.