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
60 NE 166TH ST, MIAMI, FL 33162-3440
(305) 940-0075
(305) 944-7953
Mailing address
60 NE 166TH ST, MIAMI, FL 33162-3440
(305) 940-0075
(305) 944-7953
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
312
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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