ZANDRA WYNETTE WALLACE
NPI 1053063412
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Tampa, FL
About Zandra Wynette Wallace NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ZANDRA WYNETTE WALLACE (NPI 1053063412) is an individual community based residential treatment facility, intellectual and/or developmental disabilities provider in Tampa, Florida and active in the NPI registry since January 2022.
NPPES Registry Identity
Specialties & Licenses
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Zandra Wallace's NPI number?
The NPI number for Zandra Wallace is 1053063412. It was assigned to this individual provider in the NPPES registry on January 26, 2022.
Where is Zandra Wallace located?
Zandra Wallace practices at 20316 Natures Corner Dr, Tampa, FL 33647. The listed phone number is (813) 575-8108.
What is Zandra Wallace's specialty?
The primary specialty registered for this NPI is Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320900000X.
When was this NPI record last updated?
The NPPES record for Zandra Wallace was last updated on January 26, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.
