Central Florida Group Homes Llc

NPI 1043362031 - Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities - 320900000X

NPI Details
NPI 1043362031
Enumeration Date 01/18/2007
Last Updated 06/02/2014
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name KENNETH H. KENNETH
Position PRESIDENT-DSI MANAGEMENT (MGMT. CO)
Phone (321) 280-7023
Fax (321) 280-7035
Practice Location
1890 STATE ROAD 436 STE 295
WINTER PARK FL, 32792-2285, US
Phone (321) 280-7023
Fax (321) 280-7035
Business Location
1890 STATE ROAD 436
SUITE 300
WINTER PARK FL, 32792-2285, US
Phone (407) 645-3211
Fax (407) 628-2853
Toxanomy
Taxonomy Code 320900000X
License State Florida
License Number 7G262A
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According to our database, Central Florida Group Homes Llc NPI is 1043362031, taxonomy code is 320900000X and license number is 7G262A, license state is located at Florida. Central Florida Group Homes Llc physically located at 1890 State Road 436 Ste 295, Winter Park FL, 32792-2285. NPI Number 1033115704 has the healthcare provider type.

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1043362031 NPI number is provided on an as is basis without warranty of any kind. 1043362031 is maintained by the National Plan & Provider Enumeration System. The contents of Central Florida Group Homes Llc are for informational purposes only.