Organization · Type 2 NPI
Blue Lagoon Group Home Inc
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Miami Gardens, FL
Practice location
21100 NW 28th Ct
Miami Gardens, FL 33056-1105
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.
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About NPI 1700208378
Blue Lagoon Group Home Inc's National Provider Identifier is 1700208378, issued on Jan 15, 2014. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (320900000X), and the practice location is in Miami Gardens, FL. The record was last updated on Jun 20, 2018.