Organization
2450 CHATEAU LLC
Active
Other names
RM Group Home
Organization subpart
No
Provider details
NPI number
Authorized official
CARMEN M RIVERA PHD (PRESIDENT)
(407) 738-0586
Entity
Organization
Contact information
Practice address
815 ABBEVILLE CT, KISSIMMEE, FL 34759-3426
(407) 738-0586
(321) 250-7463
Mailing address
4710 W IRLO BRONSON MEMORIAL HWY, KISSIMMEE, FL 34746-5325
(407) 738-0586
(321) 250-7463
Taxonomy
Speciality
Code
Description
License number
State
261QD1600X
Developmental Disabilities Clinic/Center
Primary
—
—
Other
Enumeration date
01/16/2020
Last updated
01/16/2020
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