SHADES OF AUTISM PARENT NETWORK INC. NPI 1861155616

NPI Information

SHADES OF AUTISM PARENT NETWORK, INC. is a respite care and mental retardation and/or developmental disabilities respite care in Jacksonville, FL. The provider is 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. SHADES OF AUTISM PARENT NETWORK, INC. NPI is 1861155616. The provider is registered as an organization entity type.

The provider's business location address is:

2736 UNIVERSITY BLVD W STE 5
JACKSONVILLE, FL
ZIP 32217-170
Phone: (904) 209-4876

The provider's authorized official is Urrikka Bianca Woods-scott .
The authorized official title is Executive Director and has the following contact phone number (904) 209-4876.

The enumeration date for this NPI number is 10/19/2021 and was last updated on 10/28/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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