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Organization
LEIDYS CARE GROUP HOME CORP
Active
Organization
LEIDYS CARE GROUP HOME CORP
Active
Other names
Leidys Care Group Home Corp
Organization subpart
No
Provider details
NPI number
Authorized official
LEIDYS HERRADA (BUSINESS OWNER)
(863) 677-4189
Entity
Organization
Contact information
Practice address
607 W OBISPO AVE, CLEWISTON, FL 33440-4326
(863) 677-4189
Mailing address
607 W OBISPO AVE, CLEWISTON, FL 33440-4326
(863) 677-4189
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
NULL
Other
Enumeration date
02/19/2021
Last updated
02/19/2021
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