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DANA L AVANT

>> Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities >> Residential Treatment Facilities

Registrant NPI Number: 1902227465

Individual Registrant:
 DANA L AVANT 
Gender: F
Sole Proprietor

Location and contact information for practice:
2212 HOLLYWOOD AVE  EUSTIS, FL 32726-3218 US
Tel: 352-348-2016  Fax: --

Contact information for business:
2212 HOLLYWOOD AVE  EUSTIS, FL 32726-3218 US
Tel: 352-348-2016  Fax: --

Registration Information:
NPI: 1902227465
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
N320600000XResidential Treatment Facilities
Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities
FL571233178
N322D00000XResidential Treatment Facilities
Residential Treatment Facility, Emotionally Disturbed Children
FL571233178
Y343900000XTransportation Services
Non-emergency Medical Transport (VAN)
FL571233178
N385HR2060XRespite Care Facility
Respite Care
FL571233178

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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