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Racquel Mczeal
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Port Orange, Florida
NPI 1720635626

Racquel Mczeal is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility based in Port Orange, FL. Racquel Mczeal practices in Port Orange, FL. The NPI Number for Racquel Mczeal is 1720635626 and holds a License No. (Florida).

The current practice location address for Racquel Mczeal is 3625 Nantucket Island Dr Apt 104, Port Orange, FL and can be reached out via phone at 386-341-0118.

Location: 3625 Nantucket Island Dr Apt 104, Port Orange, FL, 32129-5345
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1720635626
Provider Name
Racquel Mczeal
Credential
Provider Entity Type
Individual
Gender
Female
Address
3625 Nantucket Island Dr Apt 104, Port Orange, FL, 32129-5345
Phone Number
386-341-0118
Fax Number
Provider Enumeration Date
08/25/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
3625 Nantucket Island Dr Apt 104
City
Port Orange
State
Florida
Zip
32129-5345
Phone Number
386-341-0118
Fax Number
person
Provider Business Mailing Address Details
Address
3625 Nantucket Island Dr Apt 104
City
Port Orange
State
Florida
Zip
32129-5345
Phone Number
386-341-0118
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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