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Blue Lagoon Group Home Inc
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Miami Gardens, Florida
NPI 1700208378

Blue Lagoon Group Home Inc is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility based in Miami Gardens, FL. Blue Lagoon Group Home Inc practices in Miami Gardens, FL. The NPI Number for Blue Lagoon Group Home Inc is 1700208378 and holds a License No. (Florida).

The current practice location address for Blue Lagoon Group Home Inc is 21100 Nw 28Th Ct, Miami Gardens, FL and can be reached out via phone at 786-657-7205.

Location: 21100 Nw 28Th Ct, Miami Gardens, FL, 33056-1105
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1700208378
Provider Name
Blue Lagoon Group Home Inc
Credential
Provider Entity Type
Organization
Address
21100 Nw 28Th Ct, Miami Gardens, FL, 33056-1105
Phone Number
786-657-7205
Fax Number
Provider Enumeration Date
01/15/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
21100 Nw 28Th Ct
City
Miami Gardens
State
Florida
Zip
33056-1105
Phone Number
786-657-7205
Fax Number
person
Provider Business Mailing Address Details
Address
21100 Nw 28Th Ct
City
Miami Gardens
State
Florida
Zip
33056-1105
Phone Number
786-657-7205
Fax Number
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.
(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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