Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
LEIDYS HERRADA
Active Sole ProprietorIntellectual Disabilities Residential Treatment Facility · CLEWISTON, FL
Registration Details
- NPI Number
- 1609467836
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jan 30, 2021 (5.2237845670526 yrs)
- Last Updated
- Jan 30, 2021
- License
-
5582-6-GA (FL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
607 W OBISPO AVECLEWISTON, FL, 334404326Browse FL providers · Browse ZIP 33440
- Phone
- 8636774189
- 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.