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Elianne D. Jerome
Intellectual and/or Developmental Disabilities Residential Treatment Facility in Brandon, Florida
NPI 1003107533

Elianne D. Jerome is a Intellectual and/or Developmental Disabilities Residential Treatment Facility based in Brandon, FL. Elianne D. Jerome practices in Brandon, FL. The NPI Number for Elianne D. Jerome is 1003107533 and holds a License No. 6905950 (Florida).

The current practice location address for Elianne D. Jerome is 2158 Brandon Park Cir, Brandon, FL and can be reached out via phone at 813-654-6886 and via fax at 813-654-6886.

Location: 2158 Brandon Park Cir, Brandon, FL, 33510-3946
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1003107533
Provider Name
Elianne D. Jerome
Credential
Provider Entity Type
Organization
Address
2158 Brandon Park Cir, Brandon, FL, 33510-3946
Phone Number
813-654-6886
Fax Number
813-654-6886
Provider Enumeration Date
05/02/2011
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
142556100 05 FL
institution
Provider Business Practice Location Address Details
Address
2158 Brandon Park Cir
City
Brandon
State
Florida
Zip
33510-3946
Phone Number
813-654-6886
Fax Number
813-654-6886
person
Provider Business Mailing Address Details
Address
2158 Brandon Park Cir
City
Brandon
State
Florida
Zip
33510-3946
Phone Number
813-654-6886
Fax Number
813-654-6886
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Speciality
-
Taxonomy
320600000X
License No.
6905950 (Florida)
Definition
A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.
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