Organization · Type 2 NPI

Gladys B House, LLC

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

NPI number 1891221065 Active

Practice location

12875 SW 280th St
Homestead, FL 33032

Specialties and licenses

TaxonomyCodeLicense
Home Health Agency 251E00000XNone listed
In Home Supportive Care Agency 253Z00000XNone listed
Assisted Living Facility (Mental Illness) 3104A0625XNone listed
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary 320900000XNone listed
Private Vehicle 347C00000XNone listed
Child Physical Disabilities Respite Care 385HR2065XNone 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 1891221065

Gladys B House, LLC's National Provider Identifier is 1891221065, issued on May 10, 2017. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (320900000X), and the practice location is in Homestead, FL. The record was last updated on May 11, 2017.