NPI 1154447696

Agency for Persons With Disabilities

Organisation Intellectual Disabilities Intermediate Care Facility Gainesville, FL

Practice location

Address: 1621 NE Waldo Rd, Gainesville, FL 32609-3900
Phone: (352) 955-5919
Fax: (352) 955-6113

Authorised official

Name: Debra a Jackson
Title: C.F.O.
Phone: (352) 955-5575

Registered specialties

Intellectual Disabilities Intermediate Care Facility Primary

Nursing & Custodial Care Facilities Taxonomy 315P00000X

Other Intermediate Care Facility, Intellectual Disabilities providers in Florida →

Registry record

NPI: 1154447696
Entity type: Organization
NPI issued: 22 Mar 2007
Record last updated: 22 Aug 2020

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.