NPI Search for Physicians and Health Care Providers
DANA L AVANT
>> Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities >> Residential Treatment FacilitiesRegistrant 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:
Primary | Code | Category/Description | State | License Number |
---|
N | 320600000X | Residential Treatment Facilities Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities
| FL | 571233178 |
N | 322D00000X | Residential Treatment Facilities Residential Treatment Facility, Emotionally Disturbed Children | FL | 571233178 |
Y | 343900000X | Transportation Services Non-emergency Medical Transport (VAN) | FL | 571233178 |
N | 385HR2060X | Respite Care Facility Respite Care | FL | 571233178 |
Legacy codes, insurance codes and state license numbers:
HEALTH CARE JOBS FL - Page 1