Organization · NPI-2

Audubon Gardens Group LLC

Residential Treatment Facility, Intellectual and/or Developmental Disabilities · Orlando, FL

NPI number1770237158

StatusActive

Last updated in NPPESMay 28, 2025

Details

NPI: 1770237158
Entity type: Organization (NPI-2)
Legal business name: Audubon Gardens Group LLC
Organization subpart: No
Enumeration date: Feb 4, 2022
Certification date: May 28, 2025
Last updated: May 28, 2025

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
320600000X	Residential Treatment Facility, Intellectual and/or Developmental Disabilities	–	–	Yes
251E00000X	Home Health	–	–
253Z00000X	In Home Supportive Care	–	–
320900000X	Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities	–	–
385HR2060X	Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child	–	–

Practice location

1504 Bennett Rd
Orlando, FL 32803

Phone 407-730-2298

Mailing address

1504 Bennett Rd
Orlando, FL 32803

Phone 407-730-2298

Authorized official

Antoinette Munroe
Owner
7862528237

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