Zandra Wynette Wallace is a community based residential treatment facility, intellectual and/or developmental disabilities in Tampa, FL. The provider is a home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities. Zandra Wynette Wallace NPI is 1053063412. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a female.
The provider's business location address is:
20316 NATURES CORNER DR
TAMPA, FL
ZIP 33647-580
Phone: (813) 575-8108
The enumeration date for this NPI number is 1/26/2022 and was last updated on 1/26/2022.