# ROBERTS GROUP HOME INC.

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

## Provider details

- **NPI number:** 1265737811
- **Authorized official:** MR. LARRY J ROBERTS (MANAGER)
- **Authorized official phone:** (954) 449-5005

## Contact information

- **Practice address:** 7680 HOOD ST., HOLLYWOOD, FL 33024
- **Practice address phone:** (954) 961-8643
- **Practice address fax:** (954) 989-9649
- **Mailing address:** 3230 THAMES WAY, MIRAMAR, FL 33025
- **Mailing address phone:** (954) 961-8643
- **Mailing address fax:** (954) 989-9649

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 320600000X | Intellectual and/or Developmental Disabilities Residential Treatment Facility | F020702888001 | FL | Yes |

## Other

- **Enumeration date:** 01/12/2011
- **Last updated:** 01/12/2011

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 687100396 | — | FL |