NPI 1184111718

Tashondra Daniels Wiley

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

Practice location

Address: 11537 Cricket CT, Jacksonville, FL 32218-3604
Phone: (904) 449-8125
Fax: (904) 570-9947
Mailing address: PO Box 28189, Jacksonville, FL 32226-8189

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: 1184111718
Entity type: Individual
Sex (as registered): Female
NPI issued: 19 Apr 2018
Record last updated: 19 Apr 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.