Organization
RAYMOND'S GROUP HOME
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAISY GRACIANO HEALTH EDUCATER (OWNER)
(954) 549-0948
Entity
Organization
Contact information
Practice address
8150 SW 6TH ST, N LAUDERDALE, FL 33068-2014
(954) 549-0948
(786) 362-6971
Mailing address
8150 SW 6TH ST, N LAUDERDALE, FL 33068-2014
(954) 549-0948
(786) 362-6971
Taxonomy
Speciality
Code
Description
License number
State
320700000X
Physical Disabilities Residential Treatment Facility
Primary
1025746H
FL
Other
Enumeration date
04/19/2012
Last updated
04/19/2012
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