# LIVINGSTON MORRIS GROUP HOME, INC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** LIVINGSTON MORRIS GROUP HOME, INC
- **Other names:** Livingston Group Home, Inc
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1396924122
- **Legal business name:** LIVINGSTON MORRIS GROUP HOME, INC
- **Authorized official:** MISS JOSEPHINE LIVINGSTON (OWNER/ADMINISTRATOR)
- **Authorized official phone:** (305) 624-6232

## Contact information

- **Practice address:** 2960 NW 163RD ST, OPA LOCKA, FL 33054-6414
- **Practice address phone:** (305) 624-6232
- **Practice address fax:** (305) 624-0869
- **Mailing address:** 2960 NW 163RD ST, OPA LOCKA, FL 33054-6414
- **Mailing address phone:** (305) 624-6232
- **Mailing address fax:** (305) 624-0869

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 385HR2060X | Child Intellectual and/or Developmental Disabilities Respite Care | — | FL | Yes |

## Other

- **Enumeration date:** 10/29/2007
- **Last updated:** 10/29/2007
