| Road Opener Group Llc | |
|
377 Guadlupe St Haines City FL 33844 | |
| (954) 257-7112 | |
| Not Available |
| Full Name | Road Opener Group Llc |
|---|---|
| Speciality | Day Training, Developmentally Disabled Services |
| Location | 377 Guadlupe St, Haines City, Florida |
| Authorized Official Name and Position | Natasha Vr Kelly (OWNER) |
| Authorized Official Contact | 9542577112 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Road Opener Group Llc 109 Ambersweet Way # 336 Davenport FL 33897-8418 Ph: (954) 257-7112 | Road Opener Group Llc 377 Guadlupe St Haines City FL 33844 Ph: (954) 257-7112 |
| NPI Number | 1164295937 |
|---|---|
| Provider Enumeration Date | 11/03/2023 |
| Last Update Date | 11/03/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164295937 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QC1500X | Clinic/center - Community Health | (* (Not Available)) | Secondary |
| 251C00000X | Day Training, Developmentally Disabled Services | (* (Not Available)) | Primary |
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