Organization
GREAT PARADISE GROUP HOME LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH TONY LAZARRE (PRESIDENT)
(786) 316-2220
Entity
Organization
Contact information
Practice address
6309 SW 18TH ST, MIRAMAR, FL 33023-2106
(786) 316-2220
(954) 827-8015
Mailing address
6309 SW 18TH ST, MIRAMAR, FL 33023-2106
(786) 316-2220
(954) 827-8015
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Enumeration date
06/09/2022
Last updated
06/09/2022
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