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Organization

WEST KENDALL COMMUNITY CENTER

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. ADANNYS DOMINGUEZ (PRESIDENT)
(305) 744-4525
Entity
Organization

Contact information

Practice address
13255 SW 137TH AVE, SUITE 208, MIAMI, FL 33186-5326
(305) 744-4525
Mailing address
13255 SW 137TH AVE, SUITE 208, MIAMI, FL 33186-5326
(305) 744-4525

Taxonomy

Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
FL

Other

Enumeration date
03/09/2017
Last updated
03/09/2017
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