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Shantell Foster
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Yulee, Florida
NPI 1770016347

Shantell Foster is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility based in Yulee, FL. Shantell Foster practices in Yulee, FL. The NPI Number for Shantell Foster is 1770016347 and holds a License No. (Florida).

The current practice location address for Shantell Foster is 96159 Mount Zion Loop, Yulee, FL and can be reached out via phone at 904-753-3285 and via fax at 904-849-7124.

Location: 96159 Mount Zion Loop, Yulee, FL, 32097-6332
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1770016347
Provider Name
Shantell Foster
Credential
Provider Entity Type
Organization
Address
96159 Mount Zion Loop, Yulee, FL, 32097-6332
Phone Number
904-753-3285
Fax Number
904-849-7124
Provider Enumeration Date
04/10/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
96159 Mount Zion Loop
City
Yulee
State
Florida
Zip
32097-6332
Phone Number
904-753-3285
Fax Number
904-849-7124
person
Provider Business Mailing Address Details
Address
96159 Mount Zion Loop
City
Yulee
State
Florida
Zip
32097-6332
Phone Number
904-753-3285
Fax Number
904-849-7124
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.
(Florida)
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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