Individual provider · Type 1 NPI

Annquenette C. Daniels

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Jacksonville, FL

NPI number 1558834879 Active

Practice location

6859 Lenox Ave Ste 32
Jacksonville, FL 32205-6149

Call (904) 405-2631 Map

Specialties and licenses

TaxonomyCodeLicense
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary 320900000XNone 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.

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About NPI 1558834879

Annquenette C. Daniels's National Provider Identifier is 1558834879, issued on Jan 9, 2019. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (320900000X), and the practice location is in Jacksonville, FL. The record was last updated on Jan 9, 2019.