Organization
ROBERTS GROUP HOME INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LARRY J ROBERTS (MANAGER)
(954) 449-5005
Entity
Organization
Contact information
Practice address
7680 HOOD ST., HOLLYWOOD, FL 33024
(954) 961-8643
(954) 989-9649
Mailing address
3230 THAMES WAY, MIRAMAR, FL 33025
(954) 961-8643
(954) 989-9649
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
F020702888001
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
687100396
—
FL
Enumeration date
01/12/2011
Last updated
01/12/2011
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