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VICTORY TROT EQUESTRIAN CENTER INC NPI 1699093112


NPI Information

NPI: 1699093112
Provider Name: VICTORY TROT EQUESTRIAN CENTER INC
Classification: Residential Treatment Facility, Intellectual and/or Developmental Disabilities - 320600000X
Entity Type: Organization
Address:
3250 BRADY DR
DUNEDIN, FL
ZIP 34698
Phone: (727) 787-6733
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VICTORY TROT EQUESTRIAN CENTER INC is a residential treatment facility, intellectual and/or developmental disabilities in Dunedin, 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. VICTORY TROT EQUESTRIAN CENTER INC NPI is 1699093112. The provider is registered as an organization entity type.

The provider's business location address is:

3250 BRADY DR
DUNEDIN, FL
ZIP 34698-202
Phone: (727) 787-6733

The provider's authorized official is Carroll Beasley .
The authorized official title is Director and has the following contact phone number (727) 797-6733.

The enumeration date for this NPI number is 5/7/2010 and was last updated on 5/7/2010.


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 DisabilitiesYes

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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