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Organization

DENALI CRT, LLC

Active
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Organization

DENALI CRT, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
KARINA VICTORIA GOMEZ (EXECUTIVE DIRECTOR)
(305) 602-8074
Entity
Organization

Contact information

Practice address
10200 NW 25TH ST STE 205, DORAL, FL 33172-5922
(305) 602-0268
(954) 477-7706
Mailing address
10200 NW 25TH ST STE 205, DORAL, FL 33172-5922
(305) 602-0268
(954) 477-7706

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
MH8888
FL
103K00000X
Behavior Analyst
Primary
0051701
FL
163WC1600X
Continuing Education/Staff Development Registered Nurse
163WH0200X
Home Health Registered Nurse
172A00000X
Driver
251C00000X
Developmentally Disabled Services Day Training Agency
251J00000X
Nursing Care Agency
343900000X
Non-emergency Medical Transport (VAN)
374U00000X
Home Health Aide
376J00000X
Homemaker
376K00000X
Nurse's Aide
385H00000X
Respite Care
385HR2055X
Child Mental Illness Respite Care
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
017511700
FL
05
693385896
FL
Enumeration date
07/25/2013
Last updated
02/18/2025
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