Grand Canyon Group Home LLC
NPI #1750254850 in Seffner, Florida
Provider Information
- NPI Number
- 1750254850
- Entity Type
- Organization
- Organization Name
- Grand Canyon Group Home LLC
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- GRAND CANYON GROUP HOME LLC
- Primary Specialty
- Residential Treatment Facility, Emotionally Disturbed Children
- Enumeration Date
- Sep 25, 2025
- Last Updated
- Sep 25, 2025
Practice Location
Authorized Official
- Name
- CASSANDRA VIRGINIA SIMPSON, RN
- Title
- EXECUTIVE DIRECTOR
- Phone
- (813) 810-6844
Specialties & Taxonomy Codes
| Specialty |
|---|
| Case Management |
| Home Health |
| Nursing Care |
| Community/Behavioral Health |
| Nursing Facility/Intermediate Care Facility |
| Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Residential Treatment Facility, Physical Disabilities |
| Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Residential Treatment Facility, Emotionally Disturbed Children |
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