Individual provider · Type 1 NPI
Iliana Stenie Gonzalez
Child Intellectual and/or Developmental Disabilities Respite Care · Port St. Lucie, FL
Practice location
508 SE Whitmore Dr
Port St. Lucie, FL 34984-4560
Fax (772) 785-7110
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Child Intellectual and/or Developmental Disabilities Respite Care Primary | 385HR2060X | None listed |
Child Intellectual and/or Developmental Disabilities Respite Care: A facility or distinct part of a facility that provides short term, residential care to children diagnosed with intellectual and/or developmental disabilities as respite for the regular caregivers.
About NPI 1942408828
Iliana Stenie Gonzalez's National Provider Identifier is 1942408828, issued on Jul 3, 2007. The primary taxonomy on file is Child Intellectual and/or Developmental Disabilities Respite Care (385HR2060X), and the practice location is in Port St. Lucie, FL. The record was last updated on Jul 8, 2007.