# EMPOWERED LIVING COMMUNITY CENTER CORP.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1346809357
- **Authorized official:** DR. MAIKEL ROQUE RUANO (PRESIDENT)
- **Authorized official phone:** (786) 547-1568

## Contact information

- **Practice address:** 950 SW 57TH AVE APT 704, WEST MIAMI, FL 33144-5094
- **Practice address phone:** (786) 547-1568
- **Mailing address:** 950 SW 57TH AVE APT 304, WEST MIAMI, FL 33144-5087
- **Mailing address phone:** (786) 547-1568

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251B00000X | Case Management Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 06/12/2019
- **Last updated:** 02/14/2021