Organization · Type 2 NPI
Suhog Project Incorporated
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Bartow, FL
Practice location
260 W Van Fleet Dr Apt 41
Bartow, FL 33830
Mailing address
115 E Van Fleet Dr # 313
Bartow, FL 33830-3829
Other practice locations
- 260 W Van Fleet Dr Apt 41, Bartow, FL 33830 · (863) 608-8671
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 1366911638
Suhog Project Incorporated's National Provider Identifier is 1366911638, issued on Nov 16, 2018. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (320900000X), and the practice location is in Bartow, FL. The record was last updated on Dec 18, 2018.