Healthcare Provider Details

I. General information

NPI: 1306762349
Provider Name (Legal Business Name): DONAVAN'S HOUSE, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/24/2026
Last Update Date: 06/24/2026
Certification Date: 06/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

525 MARBY RD
LEHIGH ACRES FL
33936-7558
US

IV. Provider business mailing address

525 MARBY RD
LEHIGH ACRES FL
33936-7558
US

V. Phone/Fax

Practice location:
  • Phone: 239-303-9931
  • Fax:
Mailing address:
  • Phone: 239-303-9931
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code320900000X
TaxonomyIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
License Number
License Number State

VIII. Authorized Official

Name: MRS. KAREN RICHARDS
Title or Position: CEO
Credential:
Phone: 954-478-3193