Individual provider · Type 1 NPI
Diomar Anover
Intellectual Disabilities Intermediate Care Facility · Hudson, FL
NPI number
1871993899
Active
Practice location
17812 Wendy Sue Ave
Hudson, FL 34667-5917
Fax (727) 869-4382
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Intellectual Disabilities Intermediate Care Facility Primary | 315P00000X | 5230-6-GA (FL) |
Intellectual Disabilities Intermediate Care Facility: An intermediate care facility providing services for individuals with intellectual disabilities.
About NPI 1871993899
Diomar Anover's National Provider Identifier is 1871993899, issued on Aug 27, 2014. The primary taxonomy on file is Intellectual Disabilities Intermediate Care Facility (315P00000X), and the practice location is in Hudson, FL. The record was last updated on Aug 27, 2014.