Breakwater Adult Family Care Home, LLC
NPI #1396712477 in Dunnellon, Florida
Provider Information
- NPI Number
- 1396712477
- Entity Type
- Organization
- Organization Name
- Breakwater Adult Family Care Home, LLC
- Primary Specialty
- Day Training, Developmentally Disabled Services
- Enumeration Date
- Mar 7, 2006
- Last Updated
- Aug 22, 2020
Practice Location
Authorized Official
- Name
- MR. VINCE L JACOBS
- Title
- OWNER-PROVIDER
- Phone
- (352) 465-4877
Specialties & Taxonomy Codes
| Specialty |
|---|
| Day Training, Developmentally Disabled Services |
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