Organization Name: | HEAVENLY CHOICE ADULT GROUP HOME |
NPI Number: | 1487973624 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JULIA MORAME (DIRECTOR) |
Mailing Address: | 5500 Watkins Rd Haines City |
State: | FL US |
Postal Code: | 338446254 |
Phone Number: | 4079235677 |
Fax Number: | |
NPI Enumeration Date: | 05/27/2010 |
NPI Last Update Date: | 05/27/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 177F00000X |
License Number: | 6906270 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Lodging |
Taxonomy Specialization: | |
Taxonomy Definition: | A public or privately owned facility providing overnight lodging to individuals traveling long distances or receiving prolonged outpatient medical services away from home. |