Breakwater Adult Family Care Home LLC
NPI #1356407704 in Dunnellon, Florida
Provider Information
- NPI Number
- 1356407704
- Entity Type
- Organization
- Organization Name
- Breakwater Adult Family Care Home LLC
- Primary Specialty
- Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
- Enumeration Date
- Dec 29, 2006
- Last Updated
- Aug 22, 2020
Practice Location
Authorized Official
- Name
- VINCE JACOBS
- Title
- OWNER
- Phone
- (352) 598-0288
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
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| Pensacola Developmental Center | |
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