SPEECH REHABILITATION SERVICES-DEMENTIA & DYSPHAGIA SPECIALISTS
NPI 1952852659
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Plant City, FL
- Organization
- Community Based Residential Treatment Fa...
About SPEECH REHABILITATION SERVICES-DEMENTIA & DYSPHAGIA SPECIALISTS
This page provides the complete NPI Profile along with additional information for Speech Rehabilitation Services-dementia & Dysphagia Specialists, a provider established in Plant City, Florida operating as a Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities. The healthcare provider is registered in the NPI registry with number 1952852659 assigned on October 2016. The practitioner's primary taxonomy code is 320900000X with license number SA7606 (FL). The provider is registered as an organization and their NPI record was last updated 10 years ago. The authorized official of this NPI record is Dr. Tandria Callins Ph.d., Ccc-slp (Owner)
- NPI
- 1952852659 Verify this NPI
- Provider Name
- SPEECH REHABILITATION SERVICES-DEMENTIA & DYSPHAGIA SPECIALISTS
- Entity Type
- Organization
- Location Address
- 1528 AVONDALE RIDGE DR PLANT CITY, FL 33567
- Location Phone
- (813) 431-7064
- Mailing Address
- 1528 AVONDALE RIDGE DR PLANT CITY, FL 33567
- Mailing Phone
- (813) 431-7064
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 10-18-2016
- Last Update Date
- 10-18-2016
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
- Taxonomy Code
- 320900000X
- Type
- Residential Treatment Facilities
- License No.
- SA7606
- License State
- FL
- Taxonomy Description
- A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities.
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Other Providers at the Same Location
The following 1 provider is registered at the same or a nearby location.
PLANT CITY, FL 33567
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1952852659, enumerated as an "organization" on October 18, 2016.
The provider is located at 1528 AVONDALE RIDGE DR PLANT CITY, FL 33567 and the phone number is (813) 431-7064.
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320900000X.
