| NPI | 1073406864 |
|---|---|
| Doing Business As | BEACON OF TAMPA GROUP HOME |
| Entity Type | Organization |
| Authorized Contact | FADZISO DROCE Owner /Administrator 313-265-0248 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251C00000X Day Training, Developmentally Disabled Services |
| Enumeration Date | 2025-05-30 |
| Last Update Date | 2025-05-30 |