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Organization
INSPIRED LIVING GROUP HOME LLC
Active
Organization
INSPIRED LIVING GROUP HOME LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. GINOU SUPRE (OWNER)
(239) 601-2058
Entity
Organization
Contact information
Practice address
23240 FITZPATRICK AVE, PUNTA GORDA, FL 33980-5730
(239) 601-2058
Mailing address
23240 FITZPATRICK AVE, PUNTA GORDA, FL 33980-5730
(239) 601-2058
(239) 601-2058
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
NULL
Other
Enumeration date
01/14/2026
Last updated
01/14/2026
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