# VACCIS D&G GROUP HOME INC

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

## Provider details

- **NPI number:** 1568352656
- **Authorized official:** MRS. GLADIS VACCIANNA NURSE (ADMINISTRATOR)
- **Authorized official phone:** (863) 860-5699

## Contact information

- **Practice address:** 124 HARBOR DR, WINTER HAVEN, FL 33881-9609
- **Practice address phone:** (863) 860-5699
- **Practice address fax:** (863) 323-2402
- **Mailing address:** 124 HARBOR DR, WINTER HAVEN, FL 33881-9609
- **Mailing address phone:** (863) 860-5699
- **Mailing address fax:** (863) 323-2402

## Taxonomy

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

## Other

- **Enumeration date:** 07/09/2025
- **Last updated:** 07/09/2025