Kingdom Village Group Home
Kingdom Village Group Home is an Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Kissimmee, Florida. Registered with an NPI since 2022.
- In the registry since
- 2022
Practice location Address checks out
3021 Greatbear WayKissimmee, FL 34746-2116
Phone: (330) 329-1588
Fax: (407) 201-5348
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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 |
|---|
Record details
| NPI number | 1700539756 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Latosha Riley — Ceo · (330) 329-1588 |
| NPI enumerated | January 31, 2022 |
| Last updated in NPPES | January 31, 2022 |
| Certification date | January 31, 2022 |
| Mailing address | 3021 Greatbear Way, Kissimmee, FL 34746-2116 |
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