Tallahassee Developmental Center
NPI #1609875160 in Tallahassee, Florida
Provider Information
- NPI Number
- 1609875160
- Entity Type
- Organization
- Organization Name
- Tallahassee Developmental Center
- Primary Specialty
- Intermediate Care Facility, Mental Illness
- Enumeration Date
- Jul 18, 2005
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 455 APPLEYARD DR
- City
- Tallahassee
- State
- Florida
- ZIP Code
- 32304-2808
- Phone
- (850) 575-0619
Authorized Official
- Name
- MR. FRED JIMINEZ
- Title
- PROGRAM SERVICES DIRECTOR
- Phone
- (850) 575-0619
Specialties & Taxonomy Codes
| Specialty |
|---|
| Intermediate Care Facility, Mental Illness |
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