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Organization
ESTERLYN'S HOUSE INC
Active
Organization
ESTERLYN'S HOUSE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EMRON O WALWYN SR. MD (MEDICAL DIRECTOR)
(504) 756-1795
Entity
Organization
Contact information
Practice address
1200 BRICKELL AVE STE 1950, MIAMI, FL 33131-3298
(504) 756-1795
Mailing address
1200 BRICKELL AVE STE 1950, MIAMI, FL 33131-3298
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
—
NULL
104100000X
Social Worker
—
—
207R00000X
Internal Medicine Physician
Primary
—
NULL
207R00000X
Internal Medicine Physician
Primary
—
—
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
—
NULL
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
—
—
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
—
NULL
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
—
—
261QH0100X
Health Service Clinic/Center
—
NULL
310400000X
Assisted Living Facility
—
NULL
347C00000X
Private Vehicle
—
NULL
Other
Enumeration date
03/03/2020
Last updated
03/03/2020
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