Mrs. Tequela Yashan Donaldson

Individual provider Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · NPI 1780154062

Mrs. Tequela Yashan Donaldson is an Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Sanderson, Florida. Practices as a sole proprietor. Registered with an NPI since 2018.

In the registry since: 2018

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Practice location Address checks out

14044 Friendship Pl
Sanderson, FL 32087-2489
Phone: (904) 408-6638
Fax: (904) 409-0012

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Specialties & licences

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (primary)	Taxonomy 320900000X

Record details

NPI number	1780154062
Entity type	Individual (Type 1)
Gender	Female
Sole proprietor	Yes
NPI enumerated	November 29, 2018
Last updated in NPPES	November 29, 2018