Shantell Foster

NPI #1770016347 in Yulee, Florida

Provider Information

NPI Number: 1770016347
Entity Type: Organization
Organization Name: Shantell Foster
Primary Specialty: Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Enumeration Date: Apr 10, 2017
Last Updated: Apr 10, 2017

Practice Location

Address: 96159 MOUNT ZION LOOP
City: Yulee
State: Florida
ZIP Code: 32097-6332
Phone: (904) 753-3285

Authorized Official

Name: MRS. SHANTELL FOSTER
Title: OWNER
Phone: (904) 753-3285

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities	320900000X	Primary

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