Individual provider · NPI-1

Michelle Wynnette Brown

Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities · Ocala, FL

NPI number1942931886
StatusActive
Last updated in NPPESJun 21, 2022

Details

NPI
1942931886
Entity type
Individual (NPI-1)
Name
Michelle Wynnette Brown
Sex
Female
Sole proprietor
Yes
Enumeration date
Jun 21, 2022
Certification date
Jun 21, 2022
Last updated
Jun 21, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities––Yes

Practice location

6911 Sw 64th Ter
Ocala, FL 34476-3447

Phone 772-621-0917

Mailing address

6911 Sw 64th Ter
Ocala, FL 34476-6086

Phone 772-621-0917

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