Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
LATRENA M THOMAS
Active Sole ProprietorLATRENA M THOMAS is a Intellectual Disabilities Residential Treatment Facility healthcare provider located in JACKSONVILLE, Florida. NPI 1760971923 is currently active in the NPPES registry. Verify at CMS.
Intellectual Disabilities Residential Treatment Facility · JACKSONVILLE, FL
Registration Details
- NPI Number
- 1760971923
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- May 3, 2018 (8.3163437113637 yrs)
- Last Updated
- May 3, 2018
- License
-
15IV043 (FL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
14091 SUMMER BREEZE DR EJACKSONVILLE, FL, 322188913Browse FL providers · Browse ZIP 32218
- Phone
- 8045025840
- Fax
- 9044858541
- 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.