Organization
VILLAGE GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RODERICK MACK (DIRECTOR)
(305) 992-5119
Entity
Organization
Contact information
Practice address
2824 WASHINGTON DR, FORT LAUDERDALE, FL 33311-6658
(305) 992-5119
Mailing address
5887 NW 66TH WAY, PARKLAND, FL 33067-1352
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
—
Other
Enumeration date
01/25/2022
Last updated
01/25/2022
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