Organization · NPI-2

2450 Chateau LLC

Clinic/Center, Developmental Disabilities · Kissimmee, FL

NPI number1548890700
StatusActive
Last updated in NPPESJan 16, 2020

Details

NPI
1548890700
Entity type
Organization (NPI-2)
Legal business name
2450 Chateau LLC
Organization subpart
No
Enumeration date
Jan 16, 2020
Certification date
Jan 16, 2020
Last updated
Jan 16, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261QD1600X Clinic/Center, Developmental Disabilities––Yes

Other names

  • Rm Group Home (Doing Business As)

Practice location

815 Abbeville Ct
Kissimmee, FL 34759-3426

Phone 407-738-0586 · Fax 321-250-7463

Mailing address

4710 W Irlo Bronson Memorial Hwy
Kissimmee, FL 34746-5325

Phone 407-738-0586 · Fax 321-250-7463

Authorized official

Carmen M Rivera
President
4077380586

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