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Audrah Hyatt
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Orange Park, Florida
NPI 1194484295

Audrah Hyatt is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility based in Orange Park, FL. Audrah Hyatt practices in Orange Park, FL. The NPI Number for Audrah Hyatt is 1194484295 and holds a License No. (Florida).

The current practice location address for Audrah Hyatt is 767 Blanding Blvd Ste 110B, Orange Park, FL and can be reached out via phone at 803-318-2052 and via fax at 904-203-7302.

Location: 767 Blanding Blvd Ste 110B, Orange Park, FL, 32065-5788
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1194484295
Provider Name
Audrah Hyatt
Credential
Provider Entity Type
Individual
Gender
Female
Address
767 Blanding Blvd Ste 110B, Orange Park, FL, 32065-5788
Phone Number
803-318-2052
Fax Number
904-203-7302
Provider Enumeration Date
12/16/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
767 Blanding Blvd Ste 110B
City
Orange Park
State
Florida
Zip
32065-5788
Phone Number
803-318-2052
Fax Number
904-203-7302
person
Provider Business Mailing Address Details
Address
767 Blanding Blvd Ste 110B
City
Orange Park
State
Florida
Zip
32065-5788
Phone Number
803-318-2052
Fax Number
904-203-7302
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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