Individual provider · Type 1 NPI
Demetrius Antwan Haynes
Assisted Living Facility · Lakeland, FL
NPI number
1619844800
Active
Practice location
203 Tarawa St
Lakeland, FL 33805-2950
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Assisted Living Facility Primary | 310400000X | None listed |
Assisted Living Facility: A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.
Other assisted living facility providers in Lakeland
About NPI 1619844800
Demetrius Antwan Haynes's National Provider Identifier is 1619844800, issued on Oct 21, 2025. The primary taxonomy on file is Assisted Living Facility (310400000X), and the practice location is in Lakeland, FL. The record was last updated on Oct 21, 2025.