Whalio Doctors

NPI 1265013734

Group Home Holdings, LLC

Organisation Intellectual Disabilities Intermediate Care Facility Tampa, FL

Practice location

Address
9502 N Florida Ave, Tampa, FL 33612-7910
Phone
(919) 390-2980
Mailing address
6531 Meridien Dr STE 103, Raleigh, NC 27616-3213

Authorised official

Name
Mary Johns Benson
Title
Director of Billing
Phone
(336) 553-5946

Registered specialties

Intellectual Disabilities Intermediate Care Facility Primary
Nursing & Custodial Care Facilities Taxonomy 315P00000X

Registry record

NPI
1265013734
Entity type
Organization
NPI issued
16 Apr 2021
Record last updated
16 Apr 2021

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.