NPI 1740007780
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Wesley Chapel, FL
Active since September 23, 2024
About NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
NPPES Registry Identity
NPI1740007780
Entity TypeOrganization
Primary Taxonomy320900000X
Location Address8833 SANDERS TREE LOOPWesley Chapel, FL 33545-4498
Mailing Address32229 Hopper Graze BndWesley Chapel, FL 33545-4515 · (239) 989-4844
Phone(239) 989-4844
Organization SubpartNo
Authorized OfficialRoselande H PetithommeManager · (239) 989-4844
Enumeration DateSeptember 23, 2024
NPPES CertifiedSeptember 22, 2024
✔ NPI 1740007780 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyCommunity Based Residential Treatment Facility, Intellectual and/or Developmental DisabilitiesResidential Treatment Facilities
Taxonomy Code320900000X
Definition
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities.
8833 SANDERS TREE LOOP, Wesley Chapel, FL 33545