NPI 1003107533

Elianne D. Jerome

Organisation Intellectual and/or Developmental Disabilities Residential Treatment Facility Brandon, FL

Practice location

Address: 2158 Brandon Park Cir, Brandon, FL 33510-3946
Phone: (813) 654-6886
Fax: (813) 654-6886

Authorised official

Name: Elianne D. Jerome
Title: Owner
Phone: (813) 654-6886

Registered specialties

Intellectual and/or Developmental Disabilities Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 320600000X Licence 6905950 (FL)

Other Residential Treatment Facility, Intellectual and/or Developmental Disabilities providers in Florida →

Registry record

NPI: 1003107533
Entity type: Organization
NPI issued: 2 May 2011
Record last updated: 2 May 2011

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.