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AGENCY FOR PERSONS WITH DISABILITIES NPI 1457420309


NPI Information

NPI: 1457420309
Provider Name: AGENCY FOR PERSONS WITH DISABILITIES

Other Name: TACACHALE FACILITY 3

Classification: Residential Treatment Facility, Intellectual and/or Developmental Disabilities - 320600000X
Entity Type: Organization
Address:
1621 NE WALDO RD
GAINESVILLE, FL
ZIP 32609
Phone: (352) 955-5668
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AGENCY FOR PERSONS WITH DISABILITIES is a residential treatment facility, intellectual and/or developmental disabilities in Gainesville, FL. The provider is a residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently. AGENCY FOR PERSONS WITH DISABILITIES NPI is 1457420309. The provider is registered as an organization entity type.
The provider Other Name Is Tacachale Facility 3.

The provider's business location address is:

1621 NE WALDO RD
GAINESVILLE, FL
ZIP 32609-900
Phone: (352) 955-5668
Fax: (352) 955-6038

The provider's authorized official is Don E. Thomas .
The authorized official title is Superintendent and has the following contact phone number (352) 955-5856.

The enumeration date for this NPI number is 11/7/2006 and was last updated on 6/24/2008.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1320600000XResidential Treatment Facility, Intellectual and/or Developmental Disabilities4091095FLORIDAYes

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: 4/28/2024

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