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Paulette Annmarie Annikey
Intellectual and/or Developmental Disabilities Residential Treatment Facility in Kissimmee, Florida
NPI 1124772520

Paulette Annmarie Annikey is a Intellectual and/or Developmental Disabilities Residential Treatment Facility based in Kissimmee, FL. Paulette Annmarie Annikey practices in Kissimmee, FL. The NPI Number for Paulette Annmarie Annikey is 1124772520 and holds a License No. 692345396 (Florida).

The current practice location address for Paulette Annmarie Annikey is 415 Eagle Dr, Kissimmee, FL and can be reached out via phone at 863-547-4886 and via fax at 863-547-4993.

Location: 415 Eagle Dr, Kissimmee, FL, 34759-4432
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1124772520
Provider Name
Paulette Annmarie Annikey
Credential
Provider Entity Type
Individual
Gender
Female
Address
415 Eagle Dr, Kissimmee, FL, 34759-4432
Phone Number
863-547-4886
Fax Number
863-547-4993
Provider Enumeration Date
02/05/2022
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
692345396 05 FL
320600000X 05 FL
institution
Provider Business Practice Location Address Details
Address
415 Eagle Dr
City
Kissimmee
State
Florida
Zip
34759-4432
Phone Number
863-547-4886
Fax Number
863-547-4993
person
Provider Business Mailing Address Details
Address
415 Eagle Dr
City
Kissimmee
State
Florida
Zip
34759-4432
Phone Number
863-547-4886
Fax Number
863-547-4993
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Speciality
-
Taxonomy
320600000X
License No.
692345396 (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.
person
Provider's Taxonomy Details 2
Type
Residential Treatment Facilities
Classification
Community Based Residential Treatment Facility, Mental Illness
Speciality
-
Taxonomy
320800000X
License No.
692345396 (Florida)
Definition
A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.
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