| House Of Esther Group Home, Llc | |
|
9703 Bay Colony Dr Riverview FL 33578-8374 | |
| (718) 413-3982 | |
| Not Available |
| Full Name | House Of Esther Group Home, Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 9703 Bay Colony Dr, Riverview, Florida |
| Authorized Official Name and Position | Merline Clarke (OWNER/ADMINISTRATOR) |
| Authorized Official Contact | 7184133982 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| House Of Esther Group Home, Llc 9703 Bay Colony Dr Riverview FL 33578-8374 Ph: (718) 413-3982 | House Of Esther Group Home, Llc 9703 Bay Colony Dr Riverview FL 33578-8374 Ph: (718) 413-3982 |
| NPI Number | 1053773168 |
|---|---|
| Provider Enumeration Date | 03/28/2016 |
| Last Update Date | 03/28/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053773168 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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