Florida Homestyle Manor, LLC

NPI #1568089050 in Clermont, Florida

Provider Information

NPI Number
1568089050
Entity Type
Organization
Organization Name
Florida Homestyle Manor, LLC
Primary Specialty
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Enumeration Date
Jun 30, 2020
Last Updated
Aug 22, 2021

Practice Location

Address
481 DAGAMA DR
State
Florida
ZIP Code
34715-8037
Phone
(205) 541-9580

Authorized Official

Name
ANTHONY C GROVE
Title
CHIEF EXECUTIVE OFFICER
Phone
(205) 541-9580

Specialties & Taxonomy Codes

Specialty
Day Training, Developmentally Disabled Services
Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities

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