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Organization
HILLENDALE CARES LLC
Active
Organization
HILLENDALE CARES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT MARTIN ROTH (OWNER)
(813) 610-2982
Entity
Organization
Contact information
Practice address
27357 FRAMPTON AVE, BROOKSVILLE, FL 34602-7306
(813) 610-2982
(941) 827-3546
Mailing address
13348 GOLF CREST CIR, TAMPA, FL 33618-8659
(813) 610-2982
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
NULL
Other
Enumeration date
11/02/2020
Last updated
11/03/2020
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