Organization
NEW HOPE VILLAGE GROUP HOMES LLC
Active
Organization
NEW HOPE VILLAGE GROUP HOMES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JERELYN GIFTY HARRIS LPN (OWNER)
(850) 400-3328
Entity
Organization
Contact information
Practice address
1992 LEWIS TURNER BLVD, FORT WALTON BEACH, FL 32547-1255
(850) 400-3328
Mailing address
1992 LEWIS TURNER BLVD, FORT WALTON BEACH, FL 32547-1255
(850) 400-3328
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
251E00000X
Home Health Agency
—
—
251J00000X
Nursing Care Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
374U00000X
Home Health Aide
—
—
Other
Enumeration date
08/05/2024
Last updated
08/05/2024
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