Organization
ABLE GROUP HOME LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RENE GOMEZ (MANAGER)
(954) 279-6363
Entity
Organization
Contact information
Practice address
18567 SW 46TH ST, MIRAMAR, FL 33029-6231
(954) 279-6363
Mailing address
18567 SW 46TH ST, MIRAMAR, FL 33029-6231
(954) 279-6363
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
09/13/2021
Last updated
09/13/2021
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