Compassionate Care Group Home LLC

NPI #1346997871 in Williston, Florida

Provider Information

NPI Number: 1346997871
Entity Type: Organization
Organization Name: Compassionate Care Group Home LLC
Primary Specialty: Day Training, Developmentally Disabled Services
Enumeration Date: Mar 4, 2022
Last Updated: Mar 4, 2022

Practice Location

Address: 2713 NE 200TH AVE
City: Williston
State: Florida
ZIP Code: 32696-7275
Phone: (352) 204-7311

Authorized Official

Name: MELISSA BROOKS
Title: OWNER/OPERATOR
Phone: (352) 204-7311

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Day Training, Developmentally Disabled Services	251C00000X	Primary

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