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NPI Code Detail

MEDICARE: YESHUA'S SANCTUARY

MEDICARE: YESHUA'S SANCTUARY
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1235Z00000XSpeech-Language Pathologist
2225100000XPhysical Therapist
3261Q00000XClinic/Center
4225X00000XOccupational Therapist
5103K00000XBehavior Analyst

General Provider Information

NPI Number : 1811853633
Entity Type Code : Organization
Provider Name (Legal Business Name) : YESHUA'S SANCTUARY
Provider Business Mailing Address
First Line : 1700 N UNIVERSITY DR STE 220
Second Line :
City : CORAL SPRINGS
State : FL
Zip : 33071-8970
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1700 N UNIVERSITY DR STE 220
Second Line :
City : CORAL SPRINGS
State : FL
Zip : 33071-8970
Country : US
Telephone Number : 714-351-1078
Fax Number :
Authorized Official
Title or Position : OPERATIONS MANAGER
Name : SHANICE CLAYTON
Credential :
Telephone Number : 786-267-1065
Provider Enumeration Date : 12/25/2025
Last Update Date : 05/04/2026

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Directions to “YESHUA'S SANCTUARY ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.