Individual provider · NPI-1

Tequesta Dukes

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

NPI number1952936841

StatusActive

Last updated in NPPESMar 11, 2020

Details

NPI: 1952936841
Entity type: Individual (NPI-1)
Name: Tequesta Dukes
Sex: Female
Sole proprietor: Yes
Enumeration date: Mar 11, 2020
Certification date: Mar 11, 2020
Last updated: Mar 11, 2020

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
320900000X	Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities	–	–	Yes
251S00000X	Community/Behavioral Health	–	–
311Z00000X	Custodial Care Facility	–	–
311ZA0620X	Custodial Care Facility, Adult Care Home	–	–
347C00000X	Private Vehicle	–	–
372500000X	Chore Provider	–	–
372600000X	Adult Companion	–	–
374U00000X	Home Health Aide	–	–
376J00000X	Homemaker	–	–

Practice location

1713 W Marshall Lake Dr
Apopka, FL 32703-1622

Phone 407-692-5471

Mailing address

Po Box 1929
Apopka, FL 32704-1929

Phone 407-692-5471

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