Mira Group Home - Valrico, FL

Mira Group Home

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Valrico, Florida

NPI 1609322866

Mira Group Home is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility based in Valrico, FL. Mira Group Home practices in Valrico, FL. The NPI Number for Mira Group Home is 1609322866 and holds a License No. 595798 (Florida).

The current practice location address for Mira Group Home is 1501 Crest Ct, Valrico, FL and can be reached out via phone at 813-654-6579.

Location: 1501 Crest Ct, Valrico, FL, 33594-5107

NPI Number

1609322866

Provider Name

Mira Group Home

Credential

Provider Entity Type

Organization

Address

1501 Crest Ct, Valrico, FL, 33594-5107

Phone Number

813-654-6579

Fax Number

Provider Enumeration Date

08/28/2016

Last Update Date

03/09/2024

Address

1501 Crest Ct

City

Valrico

State

Florida

Zip

33594-5107

Phone Number

813-654-6579

Fax Number

Address

1501 Crest Ct

City

Valrico

State

Florida

Zip

33594-5107

Phone Number

813-654-6579

Fax Number

Type

Residential Treatment Facilities

Classification

Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities

Speciality

Taxonomy

320900000X

License No.

595798 (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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