Organization
HOUSE OF ESTHER GROUP HOME, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MERLINE CLARKE LPN (OWNER/ADMINISTRATOR)
(718) 413-3982
Entity
Organization
Contact information
Practice address
9703 BAY COLONY DR, RIVERVIEW, FL 33578-8374
(718) 413-3982
Mailing address
9703 BAY COLONY DR, RIVERVIEW, FL 33578-8374
(718) 413-3982
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
03/28/2016
Last updated
03/28/2016
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