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Veronica Lashawn Gaynor
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Brandon, Florida
NPI 1134905763

Veronica Lashawn Gaynor is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility based in Gibsonton, FL. Veronica Lashawn Gaynor practices in Brandon, FL. The NPI Number for Veronica Lashawn Gaynor is 1134905763 and holds a License No. (Florida).

The current practice location address for Veronica Lashawn Gaynor is 821 Bryan Rd, Brandon, FL and can be reached out via phone at 813-548-1004.

Location: 821 Bryan Rd, Brandon, FL, 33534-5658
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1134905763
Provider Name
Veronica Lashawn Gaynor
Credential
Provider Entity Type
Individual
Gender
Female
Address
821 Bryan Rd, Brandon, FL, 33534-5658
Phone Number
813-548-1004
Fax Number
Provider Enumeration Date
09/08/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
821 Bryan Rd
City
Brandon
State
Florida
Zip
33511-6132
Phone Number
813-548-1004
Fax Number
person
Provider Business Mailing Address Details
Address
821 Bryan Rd
City
Brandon
State
Florida
Zip
33511-6132
Phone Number
813-548-1004
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.
()
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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