Organization · Type 2 NPI
Shantell Foster
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Yulee, FL
Practice location
96159 Mount Zion Loop
Yulee, FL 32097-6332
Fax (904) 849-7124
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.
Another provider at this address
About NPI 1770016347
Shantell Foster's National Provider Identifier is 1770016347, issued on Apr 10, 2017. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (320900000X), and the practice location is in Yulee, FL. The record was last updated on Apr 10, 2017.