Second Chance Group Home Inc.

NPI #1245982677 in Clermont, Florida

Provider Information

NPI Number: 1245982677
Entity Type: Organization
Organization Name: Second Chance Group Home Inc.
Primary Specialty: Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Enumeration Date: Jan 26, 2022
Last Updated: Jan 26, 2022

Practice Location

Address: 4548 POWDERHORN PLACE DR
City: Clermont
State: Florida
ZIP Code: 34711-8940
Phone: (352) 396-1247

Authorized Official

Name: RICKY LAMAR ROBERSON
Title: OWNER
Phone: (352) 396-1247

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities	320900000X	Primary

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