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Organization

ATKINS GROUP HOME, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. CATHERINE T. KELLY (ADMINISTRATOR)
(813) 788-3117
Entity
Organization

Contact information

Practice address
38839 5TH AVE, ZEPHYRHILLS, FL 33542-4606
(813) 788-3117
(813) 788-0021
Mailing address
38839 5TH AVE, ZEPHYRHILLS, FL 33542-4606
(813) 788-3117
(813) 788-0021

Taxonomy

Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
2085-15-GA
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
095351296
FL
Enumeration date
12/01/2006
Last updated
09/29/2010
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