# ESTERLYN'S HOUSE INC

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

## Provider details

- **NPI number:** 1366076093
- **Authorized official:** DR. EMRON O WALWYN SR. MD (MEDICAL DIRECTOR)
- **Authorized official phone:** (504) 756-1795

## Contact information

- **Practice address:** 1200 BRICKELL AVE STE 1950, MIAMI, FL 33131-3298
- **Practice address phone:** (504) 756-1795
- **Mailing address:** 1200 BRICKELL AVE STE 1950, MIAMI, FL 33131-3298

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 104100000X | Social Worker | — | NULL | — |
| 104100000X | Social Worker | — | — | — |
| 207R00000X | Internal Medicine Physician | — | NULL | Yes |
| 207R00000X | Internal Medicine Physician | — | — | Yes |
| 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
