ORETGA ADULT LIVING LLC NPI 1487015004

NPI Information

ORETGA ADULT LIVING, LLC is a community based residential treatment facility, intellectual and/or developmental disabilities in Jacksonville, FL. The provider is a home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities. ORETGA ADULT LIVING, LLC NPI is 1487015004. The provider is registered as an organization entity type.

The provider's business location address is:

5622 101ST ST
JACKSONVILLE, FL
ZIP 32210-024
Phone: (904) 535-9302

The provider's authorized official is Cory Coleman .
The authorized official title is Executive Director and has the following contact phone number (904) 535-9302.

The enumeration date for this NPI number is 3/9/2016 and was last updated on 3/9/2016.

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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