Organization
ALBION GROUP HOME INCORPORATED
Active
Other names
NNCJ one on one
Organization subpart
No
Provider details
NPI number
Authorized official
MARTHA BURDETTE (PROVIDER OWNER)
(321) 674-9698
Entity
Organization
Contact information
Practice address
1019 ALBION ST NW, PALM BAY, FL 32907-9057
(321) 674-9698
(321) 729-0983
Mailing address
1019 ALBION ST NW, PALM BAY, FL 32907-9057
(321) 674-9698
(321) 729-0983
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
04/17/2007
Last updated
06/12/2008
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