Organization
PACHOT GROUP HOME INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JACQUELINE ROSA (MANAGER)
(407) 292-9031
Entity
Organization
Contact information
Practice address
3905 TIMBER TRL, ORLANDO, FL 32808-2344
(407) 292-9031
(407) 656-8484
Mailing address
13431 ZORI LN, WINDERMERE, FL 34786-7315
(407) 292-9031
(407) 656-8484
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
7G319 A/C
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
688378896
—
FL
Enumeration date
10/26/2010
Last updated
10/26/2010
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