Organization
HELENS WEST INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. HAZEL SERIEUX (MEDICAID WAIVER PROVIDER)
(407) 585-9711
Entity
Organization
Contact information
Practice address
1786 SUNSET RIDGE DR, MASCOTTE, FL 34753-9640
(352) 557-4088
Mailing address
PO BOX 782, GROVELAND, FL 34736-0782
(407) 585-9711
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
01/24/2022
Last updated
01/24/2022
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