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Organization

MIAMI-DADE COUNTY COMMUNITY ACTION AND HUMAN SERVICES DEPARTMENT

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. EDELINE BEAUVAIS MONDESTIN RN, BSN (ACTING CHIEF, ELDERLY SERVICES)
(786) 469-4600
Entity
Organization

Contact information

Practice address
19590 OLD CUTLER RD, CUTLER BAY, FL 33157-8048
(305) 255-1433
(305) 232-6295
Mailing address
19590 OLD CUTLER RD, CUTLER BAY, FL 33157-8048
(305) 255-1433
(305) 232-6295

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
374
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
670671100
FL
Enumeration date
04/01/2014
Last updated
04/01/2014
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