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Organization
DREAM TEAM GROUP HOME, INC
Active
Organization
DREAM TEAM GROUP HOME, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS CYNTHIA GAY (OWNER AND DIRECTOR)
(305) 609-1258
Entity
Organization
Contact information
Practice address
3653 NW 4TH TER, MIAMI, FL 33125-4073
(305) 609-1258
(866) 490-1272
Mailing address
3653 NW 4TH TER, MIAMI, FL 33125-4073
(305) 609-1258
(866) 490-1272
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
11-954-GH
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003237800
—
FL
Enumeration date
11/17/2014
Last updated
11/17/2014
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