Audrah Hyatt
Audrah Hyatt is an Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Orange Park, Florida. Practices as a sole proprietor. Registered with an NPI since 2021.
- In the registry since
- 2021
Practice location Address checks out
767 Blanding Blvd Ste 110BOrange Park, FL 32065-5788
Phone: (803) 318-2052
Fax: (904) 203-7302
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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 |
|---|
Record details
| NPI number | 1194484295 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | December 16, 2021 |
| Last updated in NPPES | December 16, 2021 |
| Certification date | December 16, 2021 |
| Mailing address | 767 Blanding Blvd Ste 110b, Orange Park, FL 32065-5788 |