Organization
TALLAHASSEE DEVELOPMENTAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. FRED JIMINEZ (PROGRAM SERVICES DIRECTOR)
(850) 575-0619
Entity
Organization
Contact information
Practice address
455 APPLEYARD DR, TALLAHASSEE, FL 32304-2808
(850) 575-0619
(850) 576-5773
Mailing address
455 APPLEYARD DR, TALLAHASSEE, FL 32304-2808
(850) 575-0619
(850) 576-5773
Taxonomy
Speciality
Code
Description
License number
State
310500000X
Mental Illness Intermediate Care Facility
Primary
4096096
FL
Other
Enumeration date
07/18/2005
Last updated
08/22/2020
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