Organization
L.V. WALTERS GROUP HOMES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LAWRENCE ELTON WALTERS (PRESIDENT)
(954) 818-1230
Entity
Organization
Contact information
Practice address
7422 NW 66TH TER, TAMARAC, FL 33321-5201
(954) 818-1230
Mailing address
7422 NW 66TH TER, TAMARAC, FL 33321-5201
(954) 818-1230
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
685525396
—
FL
Enumeration date
10/26/2010
Last updated
10/26/2010
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