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 |