GROUP HOME HOLDINGS LLC NPI 1265013734

NPI Information

GROUP HOME HOLDINGS, LLC is an intermediate care facility mentally retarded in Tampa, FL. The provider is (1) A public institution for care of the mentally retarded or people with related conditions. (2) An institution giving active treatment to mentally retarded or developmentally disabled persons or persons with related conditions. The primary purpose of the institution is to provide health or rehabilitative services to such individuals. GROUP HOME HOLDINGS, LLC NPI is 1265013734. The provider is registered as an organization entity type.

The provider's business location address is:

9502 N FLORIDA AVE
TAMPA, FL
ZIP 33612-910
Phone: (919) 390-2980

The provider's authorized official is Mary Johns Benson .
The authorized official title is Director Of Billing and has the following contact phone number (336) 553-5946.

The enumeration date for this NPI number is 4/16/2021 and was last updated on 4/16/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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