Individual provider · Type 1 NPI
Yalonda Evon Coleman
Intellectual and/or Developmental Disabilities Residential Treatment Facility · Fuquay Varina, NC
Practice location
219 Fuquay Springs Ave
Fuquay Varina, NC 27526-9332
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Intellectual and/or Developmental Disabilities Residential Treatment Facility Primary | 320600000X | MHL092560 (NC) |
Intellectual and/or Developmental Disabilities Residential Treatment Facility: A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.
About NPI 1932256591
Yalonda Evon Coleman's National Provider Identifier is 1932256591, issued on Jan 5, 2007. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Residential Treatment Facility (320600000X), and the practice location is in Fuquay Varina, NC. The record was last updated on Jul 8, 2007.