Individual provider · Type 1 NPI
Indya Daniels
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Jackson, TN
Practice location
262 Carriage House Dr
Jackson, TN 38305-2228
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.
Other intellectual and/or developmental disabilities community based residential treatment facility providers in Jackson
About NPI 1780208116
Indya Daniels's National Provider Identifier is 1780208116, issued on Jun 1, 2020. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (320900000X), and the practice location is in Jackson, TN. The record was last updated on Jun 1, 2020.