Blue Lagoon Group Home Inc
Blue Lagoon Group Home Inc is an Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Miami Gardens, Florida. Licensed in Florida. Registered with an NPI since 2014.
- Licensed in
- FL
- In the registry since
- 2014
What do these letters mean?
- Inc — Incorporated
- A form of business registration, not a clinical qualification.
Practice location Address checks out
21100 NW 28th CtMiami Gardens, FL 33056-1105
Phone: (786) 657-7205
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (primary) | Taxonomy 320900000X (FL) |
|---|
Record details
| NPI number | 1700208378 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Eugenia Santana — Administrator · (786) 657-7205 |
| NPI enumerated | January 15, 2014 |
| Last updated in NPPES | June 20, 2018 |
| Mailing address | 21100 Nw 28th Ct, Miami Gardens, FL 33056-1105 |
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