Organization
LIFE WITH HOPE GROUP HOME, INC
Active
Parent organization
LIFE WITH HOPE GROUP HOME, INC
Organization subpart
Yes
Provider details
NPI number
Legal business name
LIFE WITH HOPE GROUP HOME, INC
Authorized official
MARY TANIA MEDINA (OWNER)
(305) 528-7264
Entity
Organization
Contact information
Practice address
12970 SW 280TH ST, HOMESTEAD, FL 33032-8571
(305) 528-7264
Mailing address
12970 SW 280TH ST, HOMESTEAD, FL 33032-8571
(305) 528-7264
Taxonomy
Speciality
Code
Description
License number
State
261QD1600X
Developmental Disabilities Clinic/Center
Primary
—
—
Other
Enumeration date
05/07/2025
Last updated
05/07/2025
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