# ETERNALLY RICH LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** ETERNALLY RICH GROUP HOME
- **Organization subpart:** No

## Provider details

- **NPI number:** 1093554826
- **Authorized official:** ADRIANE MCFORD-GREEN (CO-OWNER)
- **Authorized official phone:** (850) 322-9900

## Contact information

- **Practice address:** 218 DAFFODIL CIR, TALLAHASSEE, FL 32305-7072
- **Practice address phone:** (850) 322-9900
- **Practice address fax:** (850) 409-0494
- **Mailing address:** 218 DAFFODIL CIR, TALLAHASSEE, FL 32305-7072
- **Mailing address phone:** (850) 322-9900
- **Mailing address fax:** (850) 409-0494

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 320600000X | Intellectual and/or Developmental Disabilities Residential Treatment Facility | — | NULL | Yes |

## Other

- **Enumeration date:** 05/21/2024
- **Last updated:** 05/21/2024