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Annquenette C Daniels
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Jacksonville, Florida
NPI 1558834879

Annquenette C Daniels is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility based in Jacksonville, FL. Annquenette C Daniels practices in Jacksonville, FL. The NPI Number for Annquenette C Daniels is 1558834879 and holds a License No. (Florida).

The current practice location address for Annquenette C Daniels is 6859 Lenox Ave Ste 32, Jacksonville, FL and can be reached out via phone at 904-405-2631.

Location: 6859 Lenox Ave Ste 32, Jacksonville, FL, 32205-6149
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1558834879
Provider Name
Annquenette C Daniels
Credential
Provider Entity Type
Individual
Gender
Female
Address
6859 Lenox Ave Ste 32, Jacksonville, FL, 32205-6149
Phone Number
904-405-2631
Fax Number
Provider Enumeration Date
01/09/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
6859 Lenox Ave Ste 32
City
Jacksonville
State
Florida
Zip
32205-6149
Phone Number
904-405-2631
Fax Number
person
Provider Business Mailing Address Details
Address
6859 Lenox Ave Ste 32
City
Jacksonville
State
Florida
Zip
32205-6149
Phone Number
904-405-2631
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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