NPI 1265204762

Ms. Jennie's Place INC

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

Practice location

Address: 924 N Magnolia Ave STE 320, Orlando, FL 32803-3850
Phone: (407) 496-6673
Mailing address: PO Box 692286, Orlando, FL 32869-2286

Authorised official

Name: Randolph Bracy
Title: Ceo
Phone: (407) 274-5405

Registered specialties

Intellectual and/or Developmental Disabilities Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 320600000X

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

Registry record

NPI: 1265204762
Entity type: Organization
NPI issued: 27 Oct 2023
Record last updated: 27 Oct 2023

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.