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Lillith Morris Group Home Inc.
Child Intellectual and/or Developmental Disabilities Respite Care in Punta Gorda, Florida
NPI 1700125374

Lillith Morris Group Home Inc. is a Child Intellectual and/or Developmental Disabilities Respite Care based in Punta Gorda, FL and is specialized in Respite Care, Intellectual and/or Developmental Disabilities, Child. Lillith Morris Group Home Inc. practices in Punta Gorda, FL. The NPI Number for Lillith Morris Group Home Inc. is 1700125374 and holds a License No. 10001505 (Florida).

The current practice location address for Lillith Morris Group Home Inc. is 364 San Ambrosio St, Punta Gorda, FL and can be reached out via phone at 941-623-0404 and via fax at 941-623-0404.

Location: 364 San Ambrosio St, Punta Gorda, FL, 33983-5767
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1700125374
Provider Name
Lillith Morris Group Home Inc.
Credential
Provider Entity Type
Organization
Address
364 San Ambrosio St, Punta Gorda, FL, 33983-5767
Phone Number
941-623-0404
Fax Number
941-623-0404
Provider Enumeration Date
02/01/2013
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
689522196 01 FL MEDICAID PROVIDER # (DD WAIVER)
institution
Provider Business Practice Location Address Details
Address
364 San Ambrosio St
City
Punta Gorda
State
Florida
Zip
33983-5767
Phone Number
941-623-0404
Fax Number
941-623-0404
person
Provider Business Mailing Address Details
Address
364 San Ambrosio St
City
Punta Gorda
State
Florida
Zip
33983-5767
Phone Number
941-623-0404
Fax Number
941-623-0404
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.
10001505 (Florida)
Definition
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.
person
Provider's Taxonomy Details 2
Type
Respite Care Facility
Classification
Respite Care
Speciality
Respite Care, Intellectual and/or Developmental Disabilities, Child
Taxonomy
385HR2060X
License No.
10001505 (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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