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

TaxonomyCodeLicense
Intellectual Disabilities Intermediate Care Facility Primary 315P00000X5230-6-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.