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Gwenandrews Home Of Success Agency, Inc.
Child Intellectual and/or Developmental Disabilities Respite Care in Quincy, Florida
NPI 1346676848

Gwenandrews Home Of Success Agency, Inc. is a Child Intellectual and/or Developmental Disabilities Respite Care based in Quincy, FL and is specialized in Respite Care, Intellectual and/or Developmental Disabilities, Child. Gwenandrews Home Of Success Agency, Inc. practices in Quincy, FL. The NPI Number for Gwenandrews Home Of Success Agency, Inc. is 1346676848 and holds a License No. 691333496 (Florida).

The current practice location address for Gwenandrews Home Of Success Agency, Inc. is 116 N Madison St, Quincy, FL and can be reached out via phone at 850-875-0075 and via fax at 850-627-2614.

Location: 116 N Madison St, Quincy, FL, 32351-2411
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1346676848
Provider Name
Gwenandrews Home Of Success Agency, Inc.
Credential
Provider Entity Type
Organization
Address
116 N Madison St, Quincy, FL, 32351-2411
Phone Number
850-875-0075
Fax Number
850-627-2614
Provider Enumeration Date
09/17/2013
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
691333496 05 FL
002214300 05 FL
institution
Provider Business Practice Location Address Details
Address
116 N Madison St
City
Quincy
State
Florida
Zip
32351-2411
Phone Number
850-875-0075
Fax Number
850-627-2614
person
Provider Business Mailing Address Details
Address
116 N Madison St
City
Quincy
State
Florida
Zip
32351-2411
Phone Number
850-875-0075
Fax Number
850-627-2614
person
Provider's Taxonomy Details 1
Type
Respite Care Facility
Classification
Respite Care
Speciality
Respite Care, Intellectual and/or Developmental Disabilities, Child
Taxonomy
385HR2060X
License No.
691333496 (Florida)
Definition
A facility or distinct part of a facility that provides short term, residential care to children diagnosed with intellectual and/or developmental disabilities as respite for the regular caregivers.
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