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V & V Group Home, Llc

NPI Registration Record

Provider / OrganizationNPIDate Certified
V & V GROUP HOME, LLC10832311202020-07-05

The organization V & V Group Home, Llc is registered with the National Plan and Provider Enumeration System (NPPES) and has the assigned NPI of 1083231120. Registration indicates V & V Group Home, Llc is a provider of services with a specialization in Ambulatory Health Care Facilities, Clinic/Center (Clinic/Center: Developmental Disabilities, ) (Clinic/Center Developmental Disabilities, Ambulatory Health Care Facilities) (Clinic/Center, )

Entity TypeOrganization
Provider OrganizationV & V GROUP HOME, LLC
Practice Office Address6442 MALTON ST
NORTH PORT, FL US
Practice Office Telephone7862188423
Mailing Address6442 MALTON ST
NORTH PORT, FL 342867298 US
Business Telephone7862188423
Authorized OfficialMAURELIN LUZBERT DIEGUEZ, OWNER
7862188423
HPT Codes
CodePractice
License No
State
261QD1600X PRIMARY
Ambulatory Health Care Facilities
Clinic/Center
Clinic/Center: Developmental Disabilities

Clinic/Center Developmental Disabilities
Ambulatory Health Care Facilities
Clinic/Center
OPI Codes
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