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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 |
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| Entity | Organization | ||||||||
| Organization subpart 1 | Not specified | ||||||||
| Enumeration date | 12/29/2012 | ||||||||
| Last updated | 06/10/2018 - About 8 years ago | ||||||||
| Identifiers |
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CORTNEY D DOUGLAS
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| ZINA T DURR 3124 NW 29TH PLACE GAINESVILLE, FL |
| CHELSEA G KENDRICK PO BOX 5193 GAINESVILLE, FL |
| DORETTE M NYSEWANDER, EDD 3600 WINDMEADOWS BLVD. GAINESVILLE, FL |
| GAINESVILLE PEER RESPITE, INC. 728 E. UNIVERSITY AVENUE GAINESVILLE, FL |
| JAMETRIA Q JOHNSON 636 NE 2ND ST (OFFICE LOCATION IN HOME SERVICES WILL BE GAINESVILLE, FL |
| KAIDRA Q THONPKINS 118 THISTLE TRL HAWTHONRE, FL |
| DIVINE CARE SERVICES LLC 21212 SE 62ND AVE HAWTHORNE, FL |
| LENISE V THOMAS 109 JUNIPER DRIVE HAWTHORNE, FL |
| JESSICA H TERRELL 11600 NW 140TH PL REDDICK, FL |
| CONSANDIA A GRIER 15211 NW 29TH TER REDDICK, FL |
CORTNEY D DOUGLAS