Faith Group Home Inc.

NPI #1982171419 in Clermont, Florida

Provider Information

NPI Number: 1982171419
Entity Type: Organization
Organization Name: Faith Group Home Inc.
Primary Specialty: Home Health
Enumeration Date: Nov 2, 2018
Last Updated: Nov 2, 2018

Practice Location

Address: 4548 POWDERHORN PLACE DR
City: Clermont
State: Florida
ZIP Code: 34711-8940
Phone: (352) 396-1247

Authorized Official

Name: RODERICK ROBERSON
Title: OWNER
Phone: (352) 396-1247

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Home Health	251E00000X	Primary

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