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Leidys Herrada
Intellectual and/or Developmental Disabilities Residential Treatment Facility in Clewiston, Florida
NPI 1609467836

Leidys Herrada is a Intellectual and/or Developmental Disabilities Residential Treatment Facility based in Clewiston, FL. Leidys Herrada practices in Clewiston, FL. The NPI Number for Leidys Herrada is 1609467836 and holds a License No. 5582-6-GA (Florida).

The current practice location address for Leidys Herrada is 607 W Obispo Ave, Clewiston, FL and can be reached out via phone at 863-677-4189.

Location: 607 W Obispo Ave, Clewiston, FL, 33440-4326
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1609467836
Provider Name
Leidys Herrada
Credential
Provider Entity Type
Individual
Gender
Female
Address
607 W Obispo Ave, Clewiston, FL, 33440-4326
Phone Number
863-677-4189
Fax Number
Provider Enumeration Date
01/30/2021
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
015443100 05 FL
institution
Provider Business Practice Location Address Details
Address
607 W Obispo Ave
City
Clewiston
State
Florida
Zip
33440-4326
Phone Number
863-677-4189
Fax Number
person
Provider Business Mailing Address Details
Address
607 W Obispo Ave
City
Clewiston
State
Florida
Zip
33440-4326
Phone Number
863-677-4189
Fax Number
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Speciality
-
Taxonomy
320600000X
License No.
5582-6-GA (Florida)
Definition
A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.
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