Individual provider · Type 1 NPI

Tequesta Dukes

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Apopka, FL

NPI number 1952936841 Active

Practice location

1713 W Marshall Lake Dr
Apopka, FL 32703-1622

Mailing address

PO Box 1929
Apopka, FL 32704-1929

Specialties and licenses

TaxonomyCodeLicense
Community/Behavioral Health Agency 251S00000XNone listed
Custodial Care Facility 311Z00000XNone listed
Adult Care Home Facility 311ZA0620XNone listed
Private Vehicle 347C00000XNone listed
Chore Provider 372500000XNone listed
Adult Companion 372600000XNone listed
Home Health Aide 374U00000XNone listed
Homemaker 376J00000XNone listed
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary 320900000XNone 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.

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About NPI 1952936841

Tequesta Dukes's National Provider Identifier is 1952936841, issued on Mar 11, 2020. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (320900000X), and the practice location is in Apopka, FL. The record was last updated on Mar 11, 2020.