NPI 1003637588

Alexcia Bennett

Practitioner Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Macclenny, FL

Practice location

Address: 505 Matecumbe CT, Macclenny, FL 32063-8832
Phone: (904) 414-1675
Mailing address: 7645 Gate Pkwy STE 104-1425, Jacksonville, FL 32256-2889

Registered specialties (2)

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

Residential Treatment Facilities Taxonomy 320900000X

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Community Health Worker

Other Service Providers Taxonomy 172V00000X

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Registry record

NPI: 1003637588
Entity type: Individual
Sex (as registered): Female
NPI issued: 18 Oct 2024
Record last updated: 18 Oct 2024

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.