Organization
HOME61 LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICHOLAS A PASTRANA (OWNER)
(727) 404-0876
Entity
Organization
Contact information
Practice address
6341 80TH AVE N, PINELLAS PARK, FL 33781-2100
(727) 851-5888
Mailing address
6341 80TH AVE N, PINELLAS PARK, FL 33781-2100
(727) 851-5888
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
—
253J00000X
Foster Care Agency
—
—
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
—
—
347C00000X
Private Vehicle
—
—
Other
Enumeration date
01/27/2025
Last updated
01/27/2025
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