Individual provider · Type 1 NPI

Lacendia Mitchell

Child Intellectual and/or Developmental Disabilities Respite Care · Jacksonville, FL

NPI number 1578069209 Active

Practice location

11036 Lydia Estates Dr W
Jacksonville, FL 32218-6937

Call (904) 305-1608 Map

Specialties and licenses

TaxonomyCodeLicense
Child Intellectual and/or Developmental Disabilities Respite Care Primary 385HR2060XNone listed

Child Intellectual and/or Developmental Disabilities Respite Care: A facility or distinct part of a facility that provides short term, residential care to children diagnosed with intellectual and/or developmental disabilities as respite for the regular caregivers.

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About NPI 1578069209

Lacendia Mitchell's National Provider Identifier is 1578069209, issued on Apr 2, 2018. The primary taxonomy on file is Child Intellectual and/or Developmental Disabilities Respite Care (385HR2060X), and the practice location is in Jacksonville, FL. The record was last updated on Apr 2, 2018.