Organization · Type 2 NPI

Florida Homestyle Manor, LLC

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Clermont, FL

NPI number 1568089050 Active

Practice location

481 Dagama Dr
Clermont, FL 34715-8037

Call (205) 541-9580 Map

Mailing address

1105 Sadie Ridge Rd
Clermont, FL 34715-0069

Specialties and licenses

Taxonomy	Code	License
Developmentally Disabled Services Day Training Agency	251C00000X	None listed
Intellectual and/or Developmental Disabilities Residential Treatment Facility	320600000X	None listed
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.

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About NPI 1568089050

Florida Homestyle Manor, LLC's National Provider Identifier is 1568089050, issued on Jun 30, 2020. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (320900000X), and the practice location is in Clermont, FL. The record was last updated on Aug 22, 2021.