Organization
BA GROUP OF MIAMI, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CHYKIMBERLY QUANTEZ BULLARD MS (OWNER)
(786) 348-4771
Entity
Organization
Contact information
Practice address
1160 NW 108TH ST, MIAMI, FL 33168-6032
(786) 348-4771
Mailing address
12555 BISCAYNE BLVD # 914, NORTH MIAMI, FL 33181-2522
(786) 348-4771
Taxonomy
Speciality
Code
Description
License number
State
174200000X
Meals Provider
—
—
177F00000X
Lodging Provider
—
—
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
251E00000X
Home Health Agency
—
—
251J00000X
Nursing Care Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
305S00000X
Point of Service
—
—
311Z00000X
Custodial Care Facility
—
—
315P00000X
Intellectual Disabilities Intermediate Care Facility
—
—
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
—
320700000X
Physical Disabilities Residential Treatment Facility
—
—
320800000X
Mental Illness Community Based Residential Treatment Facility
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
—
—
347C00000X
Private Vehicle
—
—
385H00000X
Respite Care
—
—
Other
Enumeration date
08/06/2019
Last updated
08/06/2019
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