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Teresita Alonzo
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Milton, Florida
NPI 1306279666

Teresita Alonzo is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility based in Milton, FL. Teresita Alonzo practices in Milton, FL. The NPI Number for Teresita Alonzo is 1306279666 and holds a License No. 6905409 (Florida).

The current practice location address for Teresita Alonzo is 6632 Trailride N, Milton, FL and can be reached out via phone at 850-626-4897.

Location: 6632 Trailride N, Milton, FL, 32570-3278
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1306279666
Provider Name
Teresita Alonzo
Credential
Provider Entity Type
Individual
Gender
Female
Address
6632 Trailride N, Milton, FL, 32570-3278
Phone Number
850-626-4897
Fax Number
Provider Enumeration Date
08/09/2013
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
141427500 05 FL
institution
Provider Business Practice Location Address Details
Address
6632 Trailride N
City
Milton
State
Florida
Zip
32570-3278
Phone Number
850-626-4897
Fax Number
person
Provider Business Mailing Address Details
Address
6632 Trailride N
City
Milton
State
Florida
Zip
32570-3278
Phone Number
850-626-4897
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.
6905409 (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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