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Kim Chancellor
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Loxahatchee, Florida
NPI 1134603152

Kim Chancellor is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility based in Loxahatchee, FL. Kim Chancellor practices in Loxahatchee, FL. The NPI Number for Kim Chancellor is 1134603152 and holds a License No. (Florida).

The current practice location address for Kim Chancellor is 13052 Compton Rd, Loxahatchee, FL and can be reached out via phone at 561-797-7202 and via fax at 561-795-3014.

Location: 13052 Compton Rd, Loxahatchee, FL, 33470-4714
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1134603152
Provider Name
Kim Chancellor
Credential
Provider Entity Type
Individual
Gender
Female
Address
13052 Compton Rd, Loxahatchee, FL, 33470-4714
Phone Number
561-797-7202
Fax Number
561-795-3014
Provider Enumeration Date
09/17/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
13052 Compton Rd
City
Loxahatchee
State
Florida
Zip
33470-4714
Phone Number
561-797-7202
Fax Number
561-795-3014
person
Provider Business Mailing Address Details
Address
13052 Compton Rd
City
Loxahatchee
State
Florida
Zip
33470-4714
Phone Number
561-797-7202
Fax Number
561-795-3014
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Developmental Disabilities
Taxonomy
261QD1600X
License No.
()
Definition
An entity, facility, or distinct part of a facility providing comprehensive, multidiscipline diagnostic, treatment, therapy, training, and counseling services to children with congenital disorders that precipitate developmental delays and in many instances mental deficiencies (e.g., Cerebral Palsy, metabolic disorders, Sturge-Weber Syndrome, etc.).
person
Provider's Taxonomy Details 2
Type
Residential Treatment Facilities
Classification
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Speciality
-
Taxonomy
320900000X
License No.
()
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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