Organization · Type 2 NPI
Populus Primus LLC
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Wimauma, FL
Practice location
14523 Callen Glen Way
Wimauma, FL 33598-6179
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary | 320900000X | None listed |
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility: A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.
About NPI 1003625112
Populus Primus LLC's National Provider Identifier is 1003625112, issued on Jan 3, 2025. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (320900000X), and the practice location is in Wimauma, FL. The record was last updated on Jan 3, 2025.