IndividualActive
Annquenette Daniels
NPI 1558834879 · Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Jacksonville, FL
Provider details
- NPI number
- 1558834879
- Entity type
- Individual
- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityResidential Treatment Facilities
- Sex
- Female
- Sole proprietor
- Yes
Specialties & taxonomies
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityPrimary320900000X
Residential Treatment Facilities
Practice location
6859 Lenox Ave Ste 32
Jacksonville, FL 32205-6149
Phone: (904) 405-2631
Approximate (ZIP-level) locationGet directions
Mailing address
6859 Lenox Ave Ste 32
Jacksonville, FL 32205-6149
Registry dates
- Enumerated
- 2019-01-09
- Last updated
- 2019-01-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.