Organization
ESTHER'S GROUP HOME CORP.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ESTHER R DELVA RN (OWNER)
(305) 931-8023
Entity
Organization
Contact information
Practice address
20115 HIGHLAND LAKES BLVD, N MIAMI BEACH, FL 33179-2813
(305) 931-8023
(305) 792-7449
Mailing address
20115 HIGHLAND LAKES BLVD, N MIAMI BEACH, FL 33179-2813
(305) 931-8023
(305) 792-7449
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
11255DH
GA
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
11255DH
FL
Other
Enumeration date
04/04/2012
Last updated
04/04/2012
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