Organization
SUNSHINE MINNIE GROUP HOMES CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MANOUCHECA AUGUSTIN (CEO)
(754) 234-1590
Entity
Organization
Contact information
Practice address
6630 CORAL COVE DR, ORLANDO, FL 32818-2849
(754) 234-1590
Mailing address
6630 CORAL COVE DR, ORLANDO, FL 32818-2849
(754) 234-1590
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
310500000X
Mental Illness Intermediate Care Facility
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
373H00000X
Day Training/Habilitation Specialist
—
—
Other
Enumeration date
05/10/2022
Last updated
05/10/2022
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