Organization
COMPASSIONATE CARE GROUP HOME LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MELISSA BROOKS (OWNER/OPERATOR)
(352) 204-7311
Entity
Organization
Contact information
Practice address
2713 NE 200TH AVE, WILLISTON, FL 32696-7275
(352) 204-7311
Mailing address
2713 NE 200TH AVE, WILLISTON, FL 32696-7275
(352) 204-7311
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Enumeration date
03/04/2022
Last updated
03/04/2022
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