NPI 1245982677

Second Chance Group Home INC.

Organisation Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Clermont, FL

Practice location

Address: 4548 Powderhorn Place Dr, Clermont, FL 34711-8940
Phone: (352) 396-1247
Fax: (352) 394-2353

Authorised official

Name: Ricky Lamar Roberson
Title: Owner
Phone: (352) 396-1247

Registered specialties

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 320900000X

Other Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities providers in Florida →

Registry record

NPI: 1245982677
Entity type: Organization
NPI issued: 26 Jan 2022
Record last updated: 26 Jan 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.