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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