| Home61 Llc | |
|
6341 80th Ave N Pinellas Park FL 33781-2100 | |
| (727) 851-5888 | |
| Not Available |
| Full Name | Home61 Llc |
|---|---|
| Speciality | Residential Treatment Facility, Emotionally Disturbed Children |
| Location | 6341 80th Ave N, Pinellas Park, Florida |
| Authorized Official Name and Position | Nicholas A Pastrana (OWNER) |
| Authorized Official Contact | 7274040876 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Home61 Llc 6341 80th Ave N Pinellas Park FL 33781-2100 Ph: (727) 851-5888 | Home61 Llc 6341 80th Ave N Pinellas Park FL 33781-2100 Ph: (727) 851-5888 |
| NPI Number | 1730992686 |
|---|---|
| Provider Enumeration Date | 01/27/2025 |
| Last Update Date | 01/27/2025 |
| Certification Date | 01/27/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730992686 | NPI | - | NPPES |
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