Organization · Type 2 NPI
Blair Group Home
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Orange City, FL
Practice location
211 N Sparkman Ave
Orange City, FL 32763-5011
Fax (386) 775-3165
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary | 320900000X | 678316396 (FL) |
| Child Intellectual and/or Developmental Disabilities Respite Care | 385HR2060X | 678316396 (FL) |
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 1346681129
Blair Group Home's National Provider Identifier is 1346681129, issued on Jul 9, 2013. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (320900000X), and the practice location is in Orange City, FL. The record was last updated on Jul 9, 2013.