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Julian Lopez
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Clermont, Florida
NPI 1477315083

Julian Lopez is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility based in Clermont, FL. Julian Lopez practices in Clermont, FL. The NPI Number for Julian Lopez is 1477315083 and holds a License No. (Florida).

The current practice location address for Julian Lopez is 2647 Ridgetop Ln, Clermont, FL and can be reached out via phone at 862-225-8091.

Location: 2647 Ridgetop Ln, Clermont, FL, 34711-7537
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1477315083
Provider Name
Julian Lopez
Credential
Provider Entity Type
Individual
Gender
Male
Address
2647 Ridgetop Ln, Clermont, FL, 34711-7537
Phone Number
862-225-8091
Fax Number
Provider Enumeration Date
01/29/2024
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2647 Ridgetop Ln
City
Clermont
State
Florida
Zip
34711-7537
Phone Number
862-225-8091
Fax Number
person
Provider Business Mailing Address Details
Address
2647 Ridgetop Ln
City
Clermont
State
Florida
Zip
34711-7537
Phone Number
862-225-8091
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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