Individual provider · Type 1 NPI
Tina Marie Flannery
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Fruitland Park, FL
Practice location
5345 Twin Palms Rd
Fruitland Park, FL 34731-6050
Fax (352) 504-0233
Mailing address
1310 W North Blvd Ste 2
Leesburg, FL 34748-3922
Other practice locations
- 405 Oakwood Ln, Fruitland Park, FL 34731-2330 · (352) 460-7009
- 218 W Dade Ave, Bushnell, FL 33513-5424 · (352) 460-7009
- 1050 SW 66th Pl, Bushnell, FL 33513-3588 · (352) 460-7009
- 5151 Twin Palms Rd, Fruitland Park, FL 34731-4904 · (352) 460-7009
- 603 Newell Hill Rd Fl Usa, Leesburg, FL 34748-9629 · (352) 460-7009
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility | 320900000X | 13002472 (FL) |
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility | 320900000X | 13002433 (FL) |
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility | 320900000X | 13002471 (FL) |
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility | 320900000X | 13002375A (FL) |
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility | 320900000X | 13002179A (FL) |
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary | 320900000X | 13002335A (FL) |
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.
Another provider at this address
About NPI 1760332605
Tina Marie Flannery's National Provider Identifier is 1760332605, issued on Jan 30, 2026. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (320900000X), and the practice location is in Fruitland Park, FL. The record was last updated on Feb 2, 2026.