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Ms. Kristine Kaiser Cravener, BS
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in South Daytona, Florida
NPI 1063020188

Kristine Kaiser Cravener is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility based in South Daytona, FL. Kristine Kaiser Cravener practices in South Daytona, FL and has the professional credentials of BS. The NPI Number for Kristine Kaiser Cravener is 1063020188 and holds a License No. (Florida).

The current practice location address for Kristine Kaiser Cravener is 1095 Beckman Dr, South Daytona, FL and can be reached out via phone at 386-566-0444.

Location: 1095 Beckman Dr, South Daytona, FL, 32119-2499
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1063020188
Provider Name
Kristine Kaiser Cravener
Credential
BS
Provider Entity Type
Individual
Gender
Female
Address
1095 Beckman Dr, South Daytona, FL, 32119-2499
Phone Number
386-566-0444
Fax Number
Provider Enumeration Date
07/14/2020
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
104283300 05 FL
institution
Provider Business Practice Location Address Details
Address
1095 Beckman Dr
City
South Daytona
State
Florida
Zip
32119-2499
Phone Number
386-566-0444
Fax Number
person
Provider Business Mailing Address Details
Address
1095 Beckman Dr
City
South Daytona
State
Florida
Zip
32119-2499
Phone Number
386-566-0444
Fax Number
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Speciality
-
Taxonomy
320900000X
License No.
(Florida)
Definition
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.
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