Organization
RASCON GROUP HOME, CORP.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EREIDA BENITEZ (OWNER)
(786) 853-3082
Entity
Organization
Contact information
Practice address
10920 SW 55TH ST, MIAMI, FL 33165-6913
(786) 853-3082
(305) 662-2549
Mailing address
10920 SW 55TH ST, MIAMI, FL 33165-6913
(786) 853-3082
(305) 662-2549
Taxonomy
Speciality
Code
Description
License number
State
261QD1600X
Developmental Disabilities Clinic/Center
Primary
—
—
Other
Enumeration date
12/29/2016
Last updated
12/29/2016
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