Shantell Foster
Shantell Foster is an Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Yulee, Florida. Licensed in Florida. Registered with an NPI since 2017.
- Licensed in
- FL
- In the registry since
- 2017
Practice location Address checks out
96159 Mount Zion LoopYulee, FL 32097-6332
Phone: (904) 753-3285
Fax: (904) 849-7124
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (primary) | Taxonomy 320900000X (FL) |
|---|
Record details
| NPI number | 1770016347 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Shantell Foster — Owner · (904) 753-3285 |
| NPI enumerated | April 10, 2017 |
| Last updated in NPPES | April 10, 2017 |
| Mailing address | 96159 Mount Zion Loop, Yulee, FL 32097-6332 |