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Organization
BA GROUP OF MIAMI, LLC
Active
Organization
BA GROUP OF MIAMI, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CHYKIMBERLY QUANTEZ BULLARD MS (OWNER)
(786) 348-4771
Entity
Organization
Contact information
Practice address
1160 NW 108TH ST, MIAMI, FL 33168-6032
(786) 348-4771
Mailing address
12555 BISCAYNE BLVD # 914, NORTH MIAMI, FL 33181-2522
(786) 348-4771
Taxonomy
Speciality
Code
Description
License number
State
174200000X
Meals Provider
—
NULL
177F00000X
Lodging Provider
—
NULL
251C00000X
Developmentally Disabled Services Day Training Agency
—
NULL
251E00000X
Home Health Agency
—
NULL
251J00000X
Nursing Care Agency
—
NULL
253Z00000X
In Home Supportive Care Agency
—
NULL
305S00000X
Point of Service
—
NULL
311Z00000X
Custodial Care Facility
—
NULL
315P00000X
Intellectual Disabilities Intermediate Care Facility
—
NULL
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
NULL
320700000X
Physical Disabilities Residential Treatment Facility
—
NULL
320800000X
Mental Illness Community Based Residential Treatment Facility
—
NULL
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
—
NULL
347C00000X
Private Vehicle
—
NULL
385H00000X
Respite Care
—
NULL
Other
Enumeration date
08/06/2019
Last updated
08/06/2019
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