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Kingdom Village Group Home
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Kissimmee, Florida
NPI 1700539756

Kingdom Village Group Home is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility based in Kissimmee, FL. Kingdom Village Group Home practices in Kissimmee, FL. The NPI Number for Kingdom Village Group Home is 1700539756 and holds a License No. (Florida).

The current practice location address for Kingdom Village Group Home is 3021 Greatbear Way, Kissimmee, FL and can be reached out via phone at 330-329-1588 and via fax at 407-201-5348.

Location: 3021 Greatbear Way, Kissimmee, FL, 34746-2116
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1700539756
Provider Name
Kingdom Village Group Home
Credential
Provider Entity Type
Organization
Address
3021 Greatbear Way, Kissimmee, FL, 34746-2116
Phone Number
330-329-1588
Fax Number
407-201-5348
Provider Enumeration Date
01/31/2022
Last Update Date
03/13/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
010293900 05 FL
institution
Provider Business Practice Location Address Details
Address
3021 Greatbear Way
City
Kissimmee
State
Florida
Zip
34746-2116
Phone Number
330-329-1588
Fax Number
407-201-5348
person
Provider Business Mailing Address Details
Address
3021 Greatbear Way
City
Kissimmee
State
Florida
Zip
34746-2116
Phone Number
330-329-1588
Fax Number
407-201-5348
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.
()
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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