Organization
NEW HORIZONS GROUP HOMES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LOUISE FORE RN (NURSE/BILLING AGENT)
(813) 681-3968
Entity
Organization
Contact information
Practice address
109 E CLAY AVE, BRANDON, FL 33510-3732
(813) 571-2690
Mailing address
PO BOX 963, BRANDON, FL 33509-0963
(813) 571-2690
(813) 643-6008
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
AL9058
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
680153696
—
FL
Enumeration date
05/22/2008
Last updated
05/22/2008
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