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Moses Group Home Llc
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Port St Lucie, Florida
NPI 1720437890

Moses Group Home Llc is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility based in Port St Lucie, FL. Moses Group Home Llc practices in Port St Lucie, FL. The NPI Number for Moses Group Home Llc is 1720437890 and holds a License No. (Florida).

The current practice location address for Moses Group Home Llc is 4273 Sw Dido Dr, Port St Lucie, FL and can be reached out via phone at 201-214-8142.

Location: 4273 Sw Dido Dr, Port St Lucie, FL, 34953-6434
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1720437890
Provider Name
Moses Group Home Llc
Credential
Provider Entity Type
Organization
Address
4273 Sw Dido Dr, Port St Lucie, FL, 34953-6434
Phone Number
201-214-8142
Fax Number
Provider Enumeration Date
06/08/2016
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
4273 Sw Dido Dr
City
Port St Lucie
State
Florida
Zip
34953-6434
Phone Number
201-214-8142
Fax Number
person
Provider Business Mailing Address Details
Address
4273 Sw Dido Dr
City
Port St Lucie
State
Florida
Zip
34953-6434
Phone Number
201-214-8142
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Developmental Disabilities
Taxonomy
261QD1600X
License No.
()
Definition
An entity, facility, or distinct part of a facility providing comprehensive, multidiscipline diagnostic, treatment, therapy, training, and counseling services to children with congenital disorders that precipitate developmental delays and in many instances mental deficiencies (e.g., Cerebral Palsy, metabolic disorders, Sturge-Weber Syndrome, etc.).
person
Provider's Taxonomy Details 2
Type
Residential Treatment Facilities
Classification
Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Speciality
-
Taxonomy
320600000X
License No.
()
Definition
A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.
person
Provider's Taxonomy Details 3
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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