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Home Again Of Southwest Florida,inc.
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Port Charlotte, Florida
NPI 1750684809

Home Again Of Southwest Florida,inc. is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility based in Murdock, FL. Home Again Of Southwest Florida,inc. practices in Port Charlotte, FL. The NPI Number for Home Again Of Southwest Florida,inc. is 1750684809 and holds a License No. (Florida).

The current practice location address for Home Again Of Southwest Florida,inc. is 1357 Ramsdel St, Port Charlotte, FL and can be reached out via phone at 941-743-4857 and via fax at 800-921-4989.

Location: 1357 Ramsdel St, Port Charlotte, FL, 33938-0183
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1750684809
Provider Name
Home Again Of Southwest Florida,inc.
Credential
Provider Entity Type
Organization
Address
1357 Ramsdel St, Port Charlotte, FL, 33938-0183
Phone Number
941-743-4857
Fax Number
800-921-4989
Provider Enumeration Date
12/13/2010
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
678473996 01 MEDICAID WAIVER
institution
Provider Business Practice Location Address Details
Address
1357 Ramsdel St
City
Port Charlotte
State
Florida
Zip
33952-2887
Phone Number
941-743-4857
Fax Number
800-921-4989
person
Provider Business Mailing Address Details
Address
1357 Ramsdel St
City
Port Charlotte
State
Florida
Zip
33952-2887
Phone Number
941-743-4857
Fax Number
800-921-4989
person
Provider's Taxonomy Details 1
Type
Agencies
Classification
Community/Behavioral Health
Speciality
-
Taxonomy
251S00000X
License No.
(Florida)
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
person
Provider's Taxonomy Details 2
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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