Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
LYNN L BEAVER
Active Sole ProprietorLYNN L BEAVER is a Intellectual Disabilities Residential Treatment Facility healthcare provider located in DEFUNIAK SPRINGS, Florida. NPI 1467935478 is currently active in the NPPES registry. Verify at CMS.
Intellectual Disabilities Residential Treatment Facility · DEFUNIAK SPRINGS, FL
Registration Details
- NPI Number
- 1467935478
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Sep 14, 2018 (7.9490460315038 yrs)
- Last Updated
- Jan 16, 2024
- License
-
S-2400 (FL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
164 STATE HIGHWAY 83DEFUNIAK SPRINGS, FL, 324337428Browse FL providers · Browse ZIP 32433
- Phone
- 8509029445
- Fax
- 8503734906
- Primary Specialty
-
Intellectual Disabilities Residential Treatment Facility
320600000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.