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Mr. Jarvin Vines
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Orlando, Florida
NPI 1164950929

Jarvin Vines is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility based in Orlando, FL. Jarvin Vines practices in Orlando, FL. The NPI Number for Jarvin Vines is 1164950929 and holds a License No. (Florida).

The current practice location address for Jarvin Vines is 7215 Jonquil Dr, Orlando, FL and can be reached out via phone at 407-305-1925.

Location: 7215 Jonquil Dr, Orlando, FL, 32818-5808
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1164950929
Provider Name
Jarvin Vines
Credential
Provider Entity Type
Individual
Gender
Male
Address
7215 Jonquil Dr, Orlando, FL, 32818-5808
Phone Number
407-305-1925
Fax Number
Provider Enumeration Date
05/24/2017
Last Update Date
08/17/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
670200 05 FL
institution
Provider Business Practice Location Address Details
Address
7215 Jonquil Dr
City
Orlando
State
Florida
Zip
32818-5808
Phone Number
407-305-1925
Fax Number
person
Provider Business Mailing Address Details
Address
7215 Jonquil Dr
City
Orlando
State
Florida
Zip
32818-5808
Phone Number
407-305-1925
Fax Number
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Speciality
-
Taxonomy
320600000X
License No.
(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
Residential Treatment Facility, Physical Disabilities
Speciality
-
Taxonomy
320700000X
License No.
()
Definition
A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with physical disabilities and are not able to live independently.
person
Provider's Taxonomy Details 3
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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