Organization · Type 2 NPI
Mira Group Home
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Valrico, FL
Practice location
1501 Crest Ct
Valrico, FL 33594-5107
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary | 320900000X | 595798 (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 1609322866
Mira Group Home's National Provider Identifier is 1609322866, issued on Aug 28, 2016. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (320900000X), and the practice location is in Valrico, FL. The record was last updated on Aug 28, 2016.