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Breakwater Adult Family Care Home Llc
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Dunnellon, Florida
NPI 1356407704

Breakwater Adult Family Care Home Llc is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility based in Dunnellon, FL. Breakwater Adult Family Care Home Llc practices in Dunnellon, FL. The NPI Number for Breakwater Adult Family Care Home Llc is 1356407704 and holds a License No. 6905655 (Florida).

The current practice location address for Breakwater Adult Family Care Home Llc is 22699 Sw Breakwater Blvd, Dunnellon, FL and can be reached out via phone at 352-401-7699 and via fax at 352-401-7698.

Location: 22699 Sw Breakwater Blvd, Dunnellon, FL, 34431-4039
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1356407704
Provider Name
Breakwater Adult Family Care Home Llc
Credential
Provider Entity Type
Organization
Address
22699 Sw Breakwater Blvd, Dunnellon, FL, 34431-4039
Phone Number
352-401-7699
Fax Number
352-401-7698
Provider Enumeration Date
12/29/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
22699 Sw Breakwater Blvd
City
Dunnellon
State
Florida
Zip
34431-4039
Phone Number
352-401-7699
Fax Number
352-401-7698
person
Provider Business Mailing Address Details
Address
22699 Sw Breakwater Blvd
City
Dunnellon
State
Florida
Zip
34431-4039
Phone Number
352-401-7699
Fax Number
352-401-7698
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Speciality
-
Taxonomy
320900000X
License No.
6905655 (Florida)
Definition
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.
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