Heather Java Duncan -Spencer
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Sunrise, FL. Individual provider (NPI-1).
NPI number1962028183
StatusActive
Last updated in NPPESJun 23, 2020
Details
- NPI
- 1962028183
- Entity type
- Individual (NPI-1)
- Name
- Heather Java Duncan -Spencer
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jun 23, 2020
- Certification date
- Jun 23, 2020
- Last updated
- Jun 23, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 320900000X | Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | – | FL | Yes |
Practice location
2904 Nw 60th Ter Apt 137Sunrise, FL 33313-1232
Phone 954-305-4212
Mailing address
2904 Nw 60th Ter Apt 137Sunrise, FL 33313-1232
Phone 954-305-4212
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