Dexter White is a Homemaker based in Havana, FL. Dexter White practices in Havana, FL. The NPI Number for Dexter White is 1649996406 and holds a License No. (Florida).
The current practice location address for Dexter White is 143 Iron Bridge Rd, Havana, FL and can be reached out via phone at 850-345-1044.
Location: 143 Iron Bridge Rd, Havana, FL, 32333-5711
Provider Profile Details
NPI Number
1649996406
Provider Name
Dexter White
Credential
Provider Entity Type
Individual
Gender
Male
Address
143 Iron Bridge Rd, Havana, FL, 32333-5711
Phone Number
850-345-1044
Fax Number
Provider Enumeration Date
10/13/2022
Last Update Date
03/10/2024
Provider's Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| NA | 01 | FL | NONE |
Provider Business Practice Location Address Details
Address
143 Iron Bridge Rd
City
State
Zip
32333-5711
Phone Number
850-345-1044
Fax Number
Provider Business Mailing Address Details
Address
143 Iron Bridge Rd
City
State
Zip
32333-5711
Phone Number
850-345-1044
Fax Number
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Speciality
-
Taxonomy
License No.
()
Definition
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.
Provider's Taxonomy Details 2
Type
Nursing Service Related Providers
Classification
Homemaker
Speciality
-
Taxonomy
License No.
()
Definition
An individual who provides general household activities such as meal preparation, laundry, and light housekeeping, when the individual regularly responsible for these activities is temporarily absent or unable to provide for himself. Homemakers must meet the state defined training standards.
Provider's Taxonomy Details 3
Type
Respite Care Facility
Classification
Respite Care
Speciality
Respite Care, Intellectual and/or Developmental Disabilities, Child
Taxonomy
License No.
()
Definition
A facility or distinct part of a facility that provides short term, residential care to children diagnosed with intellectual and/or developmental disabilities as respite for the regular caregivers.
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