| NPI | 1558244053 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEOPOLD F JEAN-BAPTISTE Owner 239-404-2254 |
| Organization Subpart ? | No |
| Primary Taxonomy | 315P00000X Intermediate Care Facility, Mentally Retarded |
| Additional Taxonomies | 320600000X Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities |
| 320900000X Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | |
| Enumeration Date | 2025-07-30 |
| Last Update Date | 2025-07-30 |