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Kimberly Boggs-mason
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Tallahassee, Florida
NPI 1558882704

Kimberly Boggs-mason is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility based in Tallahassee, FL. Kimberly Boggs-mason practices in Tallahassee, FL. The NPI Number for Kimberly Boggs-mason is 1558882704 and holds a License No. (Florida).

The current practice location address for Kimberly Boggs-mason is 545 E 7Th Ave Apt 102, Tallahassee, FL and can be reached out via phone at 850-274-7777.

Location: 545 E 7Th Ave Apt 102, Tallahassee, FL, 32303-5649
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1558882704
Provider Name
Kimberly Boggs-mason
Credential
Provider Entity Type
Individual
Gender
Female
Address
545 E 7Th Ave Apt 102, Tallahassee, FL, 32303-5649
Phone Number
850-274-7777
Fax Number
Provider Enumeration Date
06/28/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
545 E 7Th Ave Apt 102
City
Tallahassee
State
Florida
Zip
32303-5649
Phone Number
850-274-7777
Fax Number
person
Provider Business Mailing Address Details
Address
545 E 7Th Ave Apt 102
City
Tallahassee
State
Florida
Zip
32303-5649
Phone Number
850-274-7777
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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