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NPI Profile for CORTNEY D DOUGLAS in GAINESVILLE, FL.
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.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Respite Care, Intellectual and/or Developmental Disabilities |
385HR2060X | |||
Adult Companion |
372600000X | |||
Community Health Worker |
172V00000X | |||
Respite Care, Mental Illness, Child |
385HR2055X | |||
Respite Care, Physical Disabilities, Child |
385HR2065X |
| NPI # | 1568708139 |
|
| Status | Active | |
| Credentials | ||
| Entity | Individual | |
| Enumeration date | 12/29/2012 | |
| Last updated | 06/10/2018 - About 8 years ago | |
| Sole proprietor 1 | Yes | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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CORTNEY D DOUGLAS
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CORTNEY D DOUGLAS