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Organization
FMP GROUP HOMES LLC
Active
Organization
FMP GROUP HOMES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CARLOS REVILLA (OWNER)
(786) 444-2977
Entity
Organization
Contact information
Practice address
2217 SE 15TH TER, CAPE CORAL, FL 33990-1971
(786) 444-2977
Mailing address
PO BOX 557384, MIAMI, FL 33255-7384
(786) 444-2977
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
NULL
Other
Enumeration date
11/03/2025
Last updated
11/03/2025
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