Organization
REYNA GROUP HOME INC
Active
Other names
REYNA GROUP HOME INC
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD CHARLEMON (CEO)
(954) 599-7905
Entity
Organization
Contact information
Practice address
6960 RALEIGH ST, HOLLYWOOD, FL 33024-2840
(954) 599-7905
(754) 210-7583
Mailing address
5201 NW 33RD AVE, FORT LAUDERDALE, FL 33309-6302
(954) 599-7905
(754) 210-7583
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
07/24/2023
Last updated
07/24/2023
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