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NPI Code Detail

MEDICARE: CROMARTIE GROUP HOME INC

MEDICARE: CROMARTIE GROUP HOME INC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1373H00000XDay Training/Habilitation Specialist

General Provider Information

NPI Number : 1710836127
Entity Type Code : Organization
Provider Name (Legal Business Name) : CROMARTIE GROUP HOME INC
Provider Business Mailing Address
First Line : 3730 NW 195TH ST
Second Line :
City : MIAMI GARDENS
State : FL
Zip : 33055-1938
Country : US
Telephone Number : 305-879-0823
Fax Number : 305-879-0823
Provider Business Practice Location Address
First Line : 3730 NW 195TH ST
Second Line :
City : MIAMI GARDENS
State : FL
Zip : 33055-1938
Country : US
Telephone Number : 305-879-0823
Fax Number : 305-879-0823
Authorized Official
Title or Position : GROUP HOME PROVIDER
Name : MS. GWENVANETTE CROMARTIE
Credential :
Telephone Number : 305-879-0823
Provider Enumeration Date : 01/27/2026
Last Update Date : 01/27/2026

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Directions to “CROMARTIE GROUP HOME INC ” Practice Location

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