# EMBRACE GROUP HOME

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

## Provider details

- **NPI number:** 1689972747
- **Authorized official:** MS. AMANDA VINSON (OWNER)
- **Authorized official phone:** (352) 215-9401

## Contact information

- **Practice address:** 1029 NE 22ND AVE, GAINESVILLE, FL 32609-3878
- **Practice address phone:** (352) 336-8198
- **Mailing address:** 1029 NE 22ND AVE, GAINESVILLE, FL 32609-3878
- **Mailing address phone:** (352) 336-8198

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251C00000X | Developmentally Disabled Services Day Training Agency | — | FL | — |
| 251J00000X | Nursing Care Agency | — | FL | — |
| 320600000X | Intellectual and/or Developmental Disabilities Residential Treatment Facility | — | FL | Yes |
| 385HR2060X | Child Intellectual and/or Developmental Disabilities Respite Care | — | FL | — |

## Other

- **Enumeration date:** 03/14/2011
- **Last updated:** 03/14/2011

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 681031496 | — | FL |