Organization
PW GROUP HOME INC.
Active
Organization
PW GROUP HOME INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SANDRA PARKINSON (PRESIDENT)
(305) 744-1521
Entity
Organization
Contact information
Practice address
22931 SW 114 PATH, MIAMI, FL 33170
(305) 744-1521
Mailing address
22931 SW 114TH PATH, MIAMI, FL 33170-5429
(305) 278-7629
Taxonomy
Speciality
Code
Description
License number
State
261QD1600X
Developmental Disabilities Clinic/Center
Primary
—
—
Other
Enumeration date
10/19/2018
Last updated
10/19/2018
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