Eagle Eye Group Home, Inc.

NPI #1336894393 in Kissimmee, Florida

Provider Information

NPI Number: 1336894393
Entity Type: Organization
Organization Name: Eagle Eye Group Home, Inc.
Primary Specialty: Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Enumeration Date: Feb 18, 2022
Last Updated: Feb 18, 2022

Practice Location

Address: 415 EAGLE EYE GROUP HOME, INC
City: Kissimmee
State: Florida
ZIP Code: 34759
Phone: (863) 547-4886

Authorized Official

Name: PAULETTE ANNMARIE ANNIKEY, MEDICAID PROVIDER
Title: CEO
Phone: (321) 978-6509

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Community Based Residential Treatment Facility, Mental Illness	320800000X
Respite Care	385H00000X
Residential Treatment Facility, Intellectual and/or Developmental Disabilities	320600000X	Primary

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