# CONTRACTORS GROUP

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** G17000115761
- **Other names:** Autism Home Healt hMoms
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1053823252
- **Legal business name:** G17000115761
- **Authorized official:** MS. JILLIAN RICARD (OWNER)
- **Authorized official phone:** (772) 924-5773

## Contact information

- **Practice address:** 926 SE BELFAST AVE, PORT SAINT LUCIE, FL 34983-3914
- **Practice address phone:** (772) 924-5773
- **Practice address fax:** (772) 264-7865
- **Mailing address:** 926 SE BELFAST AVE, PORT SAINT LUCIE, FL 34983-3914
- **Mailing address phone:** (772) 924-5773
- **Mailing address fax:** (772) 264-7865

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 171M00000X | Case Manager/Care Coordinator | — | FL | Yes |
| 251B00000X | Case Management Agency | — | — | — |

## Other

- **Enumeration date:** 10/27/2017
- **Last updated:** 06/30/2022

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 688745 | — | FL |