TRAUMATIC BRAIN EDUCATION ADULT COMMUNITY HOME NPI 1114052933

NPI Information

NPI: 1114052933
Provider Name: TRAUMATIC BRAIN EDUCATION ADULT COMMUNITY HOME

Doing Business As: TEACH, INC.

Classification: Assisted Living Facility - 310400000X
Entity Type: Organization
Address:
3858 W MAIN ST
WAUCHULA, FL
ZIP 33873
Phone: (863) 773-2857
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TRAUMATIC BRAIN EDUCATION ADULT COMMUNITY HOME is an assisted living facility in Wauchula, FL. The provider is a facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. TRAUMATIC BRAIN EDUCATION ADULT COMMUNITY HOME NPI is 1114052933. The provider is registered as an organization entity type.
The provider Is Doing Business As Teach, Inc..

The provider's business location address is:

3858 W MAIN ST
WAUCHULA, FL
ZIP 33873-395
Phone: (863) 773-2857
Fax: (863) 773-2041

The provider's authorized official is Jason Travis Bone .
The authorized official title is Administrator and has the following contact phone number (863) 773-2857.

The enumeration date for this NPI number is 2/22/2007 and was last updated on 8/22/2020.

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:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	310400000X	Assisted Living Facility		AL0008514	FLORIDA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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