Taxonomy Code 311ZA0620X(311za0620x)
Adult Care Home Facility. Providers: 3

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Adult Care Home Facility Providers

NPI Name Type Address

1043517816

Jessica Lavon Pete

Individual

4750 Nw 157 Street

Reddick, FL

1891221321

Tonya Johnson

Organization

15260 Nw 29th Ter

Reddick, FL

1790213627

Tonya Alicia Johnson

Individual

15260 Nw 29th Ter

Reddick, FL

How to obtain, renew, or terminate an NPI

Every health care provider, whether it’s a hospital, pharmacy, or individual specialist, must obtain their own NPI number. This identification number is unique and is assigned upon application. In tod...

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Taxonomy Code 311ZA0620X
Specialization Adult Care Home
Display Name Adult Care Home Facility
Taxonomy Group Nursing & Custodial Care Facilities
Taxonomy Classification Custodial Care Facility
Definition A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment.
Effective Date September 30, 2009
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Custodial Care Facility Codes

Custodial Care Facility

311Z00000X • providers: 884