Raymond's Group Home
NPI #1588921290 in N Lauderdale, Florida
Provider Information
- NPI Number
- 1588921290
- Entity Type
- Organization
- Organization Name
- Raymond's Group Home
- Primary Specialty
- Residential Treatment Facility, Physical Disabilities
- Enumeration Date
- Apr 19, 2012
- Last Updated
- Apr 19, 2012
Practice Location
- Address
- 8150 SW 6TH ST
- City
- N Lauderdale
- State
- Florida
- ZIP Code
- 33068-2014
- Phone
- (954) 549-0948
Authorized Official
- Name
- MR. DAISY GRACIANO, HEALTH EDUCATER
- Title
- OWNER
- Phone
- (954) 549-0948
Specialties & Taxonomy Codes
| Specialty |
|---|
| Residential Treatment Facility, Physical Disabilities |
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