Organization
V & V GROUP HOME, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MAURELIN LUZBERT DIEGUEZ (OWNER)
(786) 218-8423
Entity
Organization
Contact information
Practice address
6442 MALTON ST, NORTH PORT, FL 34286-7298
(786) 218-8423
Mailing address
6442 MALTON ST, NORTH PORT, FL 34286-7298
(786) 218-8423
Taxonomy
Speciality
Code
Description
License number
State
261QD1600X
Developmental Disabilities Clinic/Center
Primary
—
—
Other
Enumeration date
07/05/2020
Last updated
07/05/2020
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