Organization
ABC GROUP HOME CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LIDICE ZURBANO (OWNER)
(786) 356-0630
Entity
Organization
Contact information
Practice address
10310 SW 42ND ST, MIAMI, FL 33165-4932
(786) 356-0630
Mailing address
10310 SW 42ND ST, MIAMI, FL 33165-4932
(786) 356-0630
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004086600
—
FL
Enumeration date
08/14/2019
Last updated
08/14/2019
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