# RAYMOND'S GROUP HOME

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

## Provider details

- **NPI number:** 1588921290
- **Authorized official:** MR. DAISY GRACIANO HEALTH EDUCATER (OWNER)
- **Authorized official phone:** (954) 549-0948

## Contact information

- **Practice address:** 8150 SW 6TH ST, N LAUDERDALE, FL 33068-2014
- **Practice address phone:** (954) 549-0948
- **Practice address fax:** (786) 362-6971
- **Mailing address:** 8150 SW 6TH ST, N LAUDERDALE, FL 33068-2014
- **Mailing address phone:** (954) 549-0948
- **Mailing address fax:** (786) 362-6971

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 320700000X | Physical Disabilities Residential Treatment Facility | 1025746H | FL | Yes |

## Other

- **Enumeration date:** 04/19/2012
- **Last updated:** 04/19/2012