Organization
SALEM HOMES OF FLORIDA, INC.
Active
Other names
107th Place Group Home
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DEENA G. OMBRES (ASSOC. GEN. COUNSEL/PRIVACY OFFICER)
(502) 394-2100
Entity
Organization
Contact information
Practice address
5321 SE 107TH PL, BELLEVIEW, FL 34420-3231
(352) 372-0130
Mailing address
9901 LINN STATION RD, LOUISVILLE, KY 40223-3808
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
4001095
FL
Other
Enumeration date
09/11/2013
Last updated
09/11/2013
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