Organization · Type 2 NPI

Moses Group Home LLC

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Port St. Lucie, FL

NPI number 1720437890 Active

Practice location

4273 SW Dido Dr
Port St. Lucie, FL 34953-6434

Call (201) 214-8142 Map

Specialties and licenses

TaxonomyCodeLicense
Developmental Disabilities Clinic/Center 261QD1600XNone listed
Intellectual and/or Developmental Disabilities Residential Treatment Facility 320600000XNone listed
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary 320900000XNone 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 1720437890

Moses Group Home LLC's National Provider Identifier is 1720437890, issued on Jun 8, 2016. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (320900000X), and the practice location is in Port St. Lucie, FL. The record was last updated on Jun 8, 2016.