Mr. Jarvin Vines
Mr. Jarvin Vines is an Intellectual and/or Developmental Disabilities Residential Treatment Facility in Orlando, Florida. Practices as a sole proprietor. Licensed in Florida.
- Licensed in
- FL
- In the registry since
- 2017
- Specialties on file
- 3
Practice location Address checks out
7215 Jonquil DrOrlando, FL 32818-5808
Phone: (407) 305-1925
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Specialties & licences
| Intellectual and/or Developmental Disabilities Residential Treatment Facility (primary) | Taxonomy 320600000X (FL) |
|---|---|
| Physical Disabilities Residential Treatment Facility | Taxonomy 320700000X |
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility | Taxonomy 320900000X (FL) |
Record details
| NPI number | 1164950929 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | May 24, 2017 |
| Last updated in NPPES | July 22, 2024 |
| Certification date | July 22, 2024 |
| Mailing address | 7215 Jonquil Dr, Orlando, FL 32818-5808 |
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