person
Patience Imhansiemhonehi
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Daytona Beach, Florida
NPI 1144877762

Patience Imhansiemhonehi is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility based in Daytona Beach, FL. Patience Imhansiemhonehi practices in Daytona Beach, FL. The NPI Number for Patience Imhansiemhonehi is 1144877762 and holds a License No. (Florida).

The current practice location address for Patience Imhansiemhonehi is 1400 Jackson Ave, Daytona Beach, FL and can be reached out via phone at 386-275-4630. You can also correspond with Patience Imhansiemhonehi through the mailing address at 1400 JACKSON AVE, DAYTONA BEACH, FL - 32117-1318 (mailing address contact number: 386-275-4630).

Location: 1400 Jackson Ave, Daytona Beach, FL, 32117-1318
person
Provider Profile Details
NPI Number
1144877762
Provider Name
Patience Imhansiemhonehi
Credential
Provider Entity Type
Individual
Gender
Female
Address
1400 Jackson Ave, Daytona Beach, FL, 32117-1318
Phone Number
386-275-4630
Fax Number
Provider Enumeration Date
08/19/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1400 Jackson Ave
City
State
Zip
32117-1318
Phone Number
386-275-4630
Fax Number
person
Provider Business Mailing Address Details
Address
1400 Jackson Ave
City
State
Zip
32117-1318
Phone Number
386-275-4630
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
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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