LEIDYS CARE GROUP HOME CORP NPI 1659964617

NPI Information

NPI: 1659964617
Provider Name: LEIDYS CARE GROUP HOME CORP
Classification: Residential Treatment Facility, Intellectual and/or Developmental Disabilities - 320600000X
Entity Type: Organization
Address:
607 W OBISPO AVE
CLEWISTON, FL
ZIP 33440
Phone: (863) 677-4189
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LEIDYS CARE GROUP HOME CORP is a residential treatment facility, intellectual and/or developmental disabilities in Clewiston, FL. The provider is a residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently. LEIDYS CARE GROUP HOME CORP NPI is 1659964617. The provider is registered as an organization entity type.

The provider's business location address is:

607 W OBISPO AVE
CLEWISTON, FL
ZIP 33440-326
Phone: (863) 677-4189

The provider's authorized official is Leidys Herrada .
The authorized official title is Business Owner and has the following contact phone number (863) 677-4189.

The enumeration date for this NPI number is 2/19/2021 and was last updated on 2/19/2021.

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:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	320600000X	Residential Treatment Facility, Intellectual and/or Developmental Disabilities				Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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