Organization
BLUE LAGOON GROUP HOME INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. EUGENIA SANTANA (ADMINISTRATOR)
(786) 657-7205
Entity
Organization
Contact information
Practice address
21100 NW 28TH CT, MIAMI GARDENS, FL 33056-1105
(786) 657-7205
Mailing address
21100 NW 28TH CT, MIAMI GARDENS, FL 33056-1105
(786) 657-7205
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
FL
Other
Enumeration date
01/15/2014
Last updated
06/20/2018
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us