Breakwater Adult Family Care Home LLC

Organization Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · NPI 1356407704

Breakwater Adult Family Care Home LLC is an Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Dunnellon, Florida. Licensed in Florida. Registered with an NPI since 2006.

Licensed in: FL
In the registry since: 2006

What do these letters mean?

LLC — Limited liability company: A form of business registration, not a clinical qualification.

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Practice location Address checks out

22699 SW Breakwater Blvd
Dunnellon, FL 34431-4039
Phone: (352) 401-7699
Fax: (352) 401-7698

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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 · Licence 6905655 (FL)

Record details

NPI number	1356407704
Entity type	Organization (Type 2)
Organization subpart	No
Authorized official	Vince Jacobs — Owner · (352) 598-0288
NPI enumerated	December 29, 2006
Last updated in NPPES	August 22, 2020
Mailing address	22699 Sw Breakwater Blvd, Dunnellon, FL 34431-4039