person
Ms. Loretta Donald
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Jacksonville, Florida
NPI 1447546791

Loretta Donald is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility based in Jacksonville, FL. Loretta Donald practices in Jacksonville, FL. The NPI Number for Loretta Donald is 1447546791 and holds a License No. 6906743 (Florida).

The current practice location address for Loretta Donald is 1620 Powhattan St, Jacksonville, FL and can be reached out via phone at 904-551-0851 and via fax at 904-551-0851. You can also correspond with Loretta Donald through the mailing address at 1620 POWHATTAN ST, JACKSONVILLE, FL - 32209-6023 (mailing address contact number: 904-551-0851).

Location: 1620 Powhattan St, Jacksonville, FL, 32209-6023
person
Provider Profile Details
NPI Number
1447546791
Provider Name
Loretta Donald
Credential
Provider Entity Type
Individual
Gender
Female
Address
1620 Powhattan St, Jacksonville, FL, 32209-6023
Phone Number
904-551-0851
Fax Number
904-551-0851
Provider Enumeration Date
06/24/2011
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1620 Powhattan St
City
State
Zip
32209-6023
Phone Number
904-551-0851
Fax Number
904-551-0851
person
Provider Business Mailing Address Details
Address
1620 Powhattan St
City
State
Zip
32209-6023
Phone Number
904-551-0851
Fax Number
904-551-0851
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Speciality
-
Taxonomy
License No.
6906743 (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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