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Westside Group Home, Inc.
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Bradenton, Florida
NPI 1588967723

Westside Group Home, Inc. is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility based in Bradenton, FL. Westside Group Home, Inc. practices in Bradenton, FL. The NPI Number for Westside Group Home, Inc. is 1588967723 and holds a License No. 3209000000X (Florida).

The current practice location address for Westside Group Home, Inc. is 2602 43Rd St W, Bradenton, FL and can be reached out via phone at 941-795-1084 and via fax at 941-792-0385. You can also correspond with Westside Group Home, Inc. through the mailing address at 6304 1ST AVE W, BRADENTON, FL - 34209-2331 (mailing address contact number: 941-794-5759).

Location: 2602 43Rd St W, Bradenton, FL, 34209-2331
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1588967723
Provider Name
Westside Group Home, Inc.
Credential
Provider Entity Type
Organization
Address
2602 43Rd St W, Bradenton, FL, 34209-2331
Phone Number
941-795-1084
Fax Number
941-792-0385
Provider Enumeration Date
12/09/2010
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2602 43Rd St W
City
Bradenton
State
Florida
Zip
34209-6212
Phone Number
941-795-1084
Fax Number
941-792-0385
person
Provider Business Mailing Address Details
Address
2602 43Rd St W
City
Bradenton
State
Florida
Zip
34209-6212
Phone Number
941-795-1084
Fax Number
941-792-0385
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.
3209000000X (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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