NPI 1215439187

Rng Agency

Organisation Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Tampa, FL

Practice location

Address: 7853 Gunn Hwy # 133, Tampa, FL 33626-1611
Phone: (813) 297-8112
Fax: (877) 799-6786

Authorised official

Name: Rogerick Green
Title: Owner/ Care Coordination
Phone: (813) 297-8112

Registered specialties

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 320900000X

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

Registry record

NPI: 1215439187
Entity type: Organization
NPI issued: 6 Mar 2018
Record last updated: 6 Mar 2018

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.