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Glady's Group Home Inc
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Port Saint Lucie, Florida
NPI 1912167511

Glady's Group Home Inc is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility based in Port St Lucie, FL. Glady's Group Home Inc practices in Port Saint Lucie, FL. The NPI Number for Glady's Group Home Inc is 1912167511 and holds a License No. 689362796 (Florida).

The current practice location address for Glady's Group Home Inc is 213 Sw Langfield Ave, Port Saint Lucie, FL and can be reached out via phone at 772-343-8472 and via fax at 772-879-6737.

Location: 213 Sw Langfield Ave, Port Saint Lucie, FL, 34984-4926
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1912167511
Provider Name
Glady's Group Home Inc
Credential
Provider Entity Type
Organization
Address
213 Sw Langfield Ave, Port Saint Lucie, FL, 34984-4926
Phone Number
772-343-8472
Fax Number
772-879-6737
Provider Enumeration Date
06/17/2008
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
213 Sw Langfield Ave
City
Port Saint Lucie
State
Florida
Zip
34984-4926
Phone Number
772-343-8472
Fax Number
772-879-6737
person
Provider Business Mailing Address Details
Address
213 Sw Langfield Ave
City
Port Saint Lucie
State
Florida
Zip
34984-4926
Phone Number
772-343-8472
Fax Number
772-879-6737
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.
689362796 (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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