Leidys Herrada
Leidys Herrada is an Intellectual and/or Developmental Disabilities Residential Treatment Facility in Clewiston, Florida. Practices as a sole proprietor. Licensed in Florida.
- Licensed in
- FL
- In the registry since
- 2021
Practice location Address checks out
607 W Obispo AveClewiston, FL 33440-4326
Phone: (863) 677-4189
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Specialties & licences
| Intellectual and/or Developmental Disabilities Residential Treatment Facility (primary) | Taxonomy 320600000X · Licence 5582-6-GA (FL) |
|---|
Record details
| NPI number | 1609467836 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | January 30, 2021 |
| Last updated in NPPES | January 30, 2021 |
| Certification date | January 30, 2021 |
| Mailing address | 607 W Obispo Ave, Clewiston, FL 33440-4326 |
Other providers in Clewiston
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Leidys Care Group Home Corp
607 W Obispo Ave, Clewiston, FL 33440-4326 · (863) 677-4189