Organization
FRIENDLY GROUP HOME INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARIE CARMELLE LOUISSAINT (DIRECTOR)
(786) 200-4915
Entity
Organization
Contact information
Practice address
2602 50TH STREET WEST, LEHIGH ACRES, FL 33971
(239) 368-2452
Mailing address
530 SW 198 TERRACE, PEMBROKE PINES, FL 33029
(786) 200-4915
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
089346
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
693681496
—
FL
Enumeration date
10/23/2008
Last updated
10/23/2008
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