Organization · Type 2 NPI
Gordon, Dominic J
Adult Care Home Facility · Brandon, FL
NPI number
1700760790
Active
Practice location
1319 N Taylor Rd
Brandon, FL 33510-2422
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Care Home Facility Primary | 311ZA0620X | None listed |
Adult Care Home Facility: A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment.
Other adult care home facility providers in Brandon
About NPI 1700760790
Gordon, Dominic J's National Provider Identifier is 1700760790, issued on Aug 2, 2025. The primary taxonomy on file is Adult Care Home Facility (311ZA0620X), and the practice location is in Brandon, FL. The record was last updated on Apr 30, 2026.