# BURROUGHS' GROUP HOME, INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1174703128
- **Authorized official:** MISS MYRTICE BURROUGHS (DIRECTOR/OWNER)
- **Authorized official phone:** (305) 620-0777

## Contact information

- **Practice address:** 3490 NW 200TH TER, MIAMI GARDENS, FL 33056-1786
- **Practice address phone:** (305) 620-0777
- **Practice address fax:** (305) 627-6979
- **Mailing address:** 3490 NW 200TH TER, MIAMI GARDENS, FL 33056-1786
- **Mailing address phone:** (305) 620-0777
- **Mailing address fax:** (305) 627-6979

## Taxonomy

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

## Other

- **Enumeration date:** 11/07/2007
- **Last updated:** 11/07/2007