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Ms. Bridgett Denise Braxton
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Jacksonville, Florida
NPI 1255847778

Bridgett Denise Braxton is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility based in Jacksonville, FL. Bridgett Denise Braxton practices in Jacksonville, FL. The NPI Number for Bridgett Denise Braxton is 1255847778 and holds a License No. (Florida).

The current practice location address for Bridgett Denise Braxton is 6124 Goodman Rd, Jacksonville, FL and can be reached out via phone at 901-338-9821.

Location: 6124 Goodman Rd, Jacksonville, FL, 32244-1933
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1255847778
Provider Name
Bridgett Denise Braxton
Credential
Provider Entity Type
Individual
Gender
Female
Address
6124 Goodman Rd, Jacksonville, FL, 32244-1933
Phone Number
901-338-9821
Fax Number
Provider Enumeration Date
12/20/2017
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
6124 Goodman Rd
City
Jacksonville
State
Florida
Zip
32244-1933
Phone Number
901-338-9821
Fax Number
person
Provider Business Mailing Address Details
Address
6124 Goodman Rd
City
Jacksonville
State
Florida
Zip
32244-1933
Phone Number
901-338-9821
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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