Mira Group Home
Mira Group Home is an Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Valrico, Florida. Licensed in Florida. Registered with an NPI since 2016.
- Licensed in
- FL
- In the registry since
- 2016
Practice location Address checks out
1501 Crest CtValrico, FL 33594-5107
Phone: (813) 654-6579
Show map & directions
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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 595798 (FL) |
|---|
Record details
| NPI number | 1609322866 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Patricia Mira — Director · (813) 654-6579 |
| NPI enumerated | August 28, 2016 |
| Last updated in NPPES | August 28, 2016 |
| Mailing address | 1501 Crest Ct, Valrico, FL 33594-5107 |