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Organization
EMBRACE GROUP HOME
Active
Organization
EMBRACE GROUP HOME
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. AMANDA VINSON (OWNER)
(352) 215-9401
Entity
Organization
Contact information
Practice address
1029 NE 22ND AVE, GAINESVILLE, FL 32609-3878
(352) 336-8198
Mailing address
1029 NE 22ND AVE, GAINESVILLE, FL 32609-3878
(352) 336-8198
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
—
FL
251J00000X
Nursing Care Agency
—
FL
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
FL
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
—
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
681031496
—
FL
Enumeration date
03/14/2011
Last updated
03/14/2011
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