| NPI | 1750199378 |
|---|---|
| Doing Business As | ORANGE GROVE HOME1 |
| Entity Type | Organization |
| Authorized Contact | LOUIS SALAS Director 321-437-3550 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Additional Taxonomies | 315P00000X Intermediate Care Facility, Intellectual Disabilities |
| 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities | |
| 320700000X Residential Treatment Facility, Physical Disabilities | |
| Enumeration Date | 2024-12-28 |
| Last Update Date | 2024-12-28 |