Organization
MARIGOLD GROUP HOME
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TANESHIA M BRYANT RN (OWNER)
(407) 757-6555
Entity
Organization
Contact information
Practice address
5111 KIPP PL, ORLANDO, FL 32808-4530
(407) 757-6555
Mailing address
5111 KIPP PL, ORLANDO, FL 32808-4530
(407) 757-6555
Taxonomy
Speciality
Code
Description
License number
State
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
Primary
—
—
Other
Enumeration date
07/29/2025
Last updated
07/29/2025
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