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Samantha S Warford
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Jacksonville, Florida
NPI 1417550781

Samantha S Warford is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility based in Jacksonville, FL. Samantha S Warford practices in Jacksonville, FL. The NPI Number for Samantha S Warford is 1417550781 and holds a License No. (Florida).

The current practice location address for Samantha S Warford is 8071 Beaver Creek Dr, Jacksonville, FL and can be reached out via phone at 904-536-4015.

Location: 8071 Beaver Creek Dr, Jacksonville, FL, 32210-9772
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1417550781
Provider Name
Samantha S Warford
Credential
Provider Entity Type
Individual
Gender
Female
Address
8071 Beaver Creek Dr, Jacksonville, FL, 32210-9772
Phone Number
904-536-4015
Fax Number
Provider Enumeration Date
11/19/2020
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
107979400 05 FL
institution
Provider Business Practice Location Address Details
Address
8071 Beaver Creek Dr
City
Jacksonville
State
Florida
Zip
32210-9772
Phone Number
904-536-4015
Fax Number
person
Provider Business Mailing Address Details
Address
8071 Beaver Creek Dr
City
Jacksonville
State
Florida
Zip
32210-9772
Phone Number
904-536-4015
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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