IndividualActive
Tequela Donaldson
NPI 1780154062 · Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Sanderson, FL
Provider details
- NPI number
- 1780154062
- 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
Profile Score
Established profile(60/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 yrs in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
14044 Friendship Pl
Sanderson, FL 32087-2489
Phone: (904) 408-6638
Fax: (904) 409-0012
Street-level locationGet directions
Mailing address
Po Box 163
Sanderson, FL 32087-0163
Registry dates
- Enumerated
- 2018-11-29
- Last updated
- 2018-11-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.