Individual provider · Type 1 NPI
Racquel McZeal
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Port Orange, FL
Practice location
3625 Nantucket Island Dr Apt 104
Port Orange, FL 32129-5345
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary | 320900000X | None 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.
About NPI 1720635626
Racquel McZeal's National Provider Identifier is 1720635626, issued on Aug 25, 2019. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (320900000X), and the practice location is in Port Orange, FL. The record was last updated on Aug 25, 2019.