Organization
VAZQUEZ GROUP HOME, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MAYDOLIS VAZQUEZ (CEO)
(786) 234-2303
Entity
Organization
Contact information
Practice address
16455 SW 295TH ST, HOMESTEAD, FL 33033-2135
(786) 234-2303
Mailing address
16455 SW 295TH ST, HOMESTEAD, FL 33033-2135
(786) 234-2303
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
06/08/2026
Last updated
06/08/2026
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