Great Paradise Group Home LLC

NPI #1164151502 in Miramar, Florida

Provider Information

NPI Number
1164151502
Entity Type
Organization
Organization Name
Great Paradise Group Home LLC
Primary Specialty
Day Training, Developmentally Disabled Services
Enumeration Date
Jun 9, 2022
Last Updated
Jun 9, 2022

Practice Location

Address
6309 SW 18TH ST
State
Florida
ZIP Code
33023-2106
Phone
(786) 316-2220

Authorized Official

Name
JOSEPH TONY LAZARRE
Title
PRESIDENT
Phone
(786) 316-2220

Specialties & Taxonomy Codes

Specialty
Day Training, Developmentally Disabled Services

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