| NPI | 1467061572 |
|---|---|
| Doing Business As | NEIL'S GROUP HOME |
| Entity Type | Organization |
| Authorized Contact | KAMAL PATEL Owner 813-300-7972 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD1600X Clinic/Center, Developmental Disabilities |
| Enumeration Date | 2020-07-24 |
| Last Update Date | 2020-07-24 |