NPI 1609875160

Tallahassee Developmental Center

Organisation Mental Illness Intermediate Care Facility Tallahassee, FL

Practice location

Address: 455 Appleyard Dr, Tallahassee, FL 32304-2808
Phone: (850) 575-0619
Fax: (850) 576-5773

Authorised official

Name: Fred Jiminez
Title: Program Services Director
Phone: (850) 575-0619

Registered specialties

Mental Illness Intermediate Care Facility Primary

Nursing & Custodial Care Facilities Taxonomy 310500000X Licence 4096096 (FL)

Other Intermediate Care Facility, Mental Illness providers in Florida →

Registry record

NPI: 1609875160
Entity type: Organization
NPI issued: 18 Jul 2005
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.