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Organization

PSYCHOSOCIAL REHABILITATION CENTER INC

Active
Other names
Fellowship House
Organization subpart
No

Provider details

NPI number
Authorized official
ROSEMARY JULIANA SMITH HOEL (PRESIDENT AND)
(305) 667-1036
Entity
Organization

Contact information

Practice address
5711 S DIXIE HWY, SOUTH MIAMI, FL 33143-3602
(305) 667-1036
(305) 667-4938
Mailing address
5711 S DIXIE HWY, SOUTH MIAMI, FL 33143-3602
(305) 667-1036
(305) 667-4938

Taxonomy

Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
FL
251S00000X
Community/Behavioral Health Agency
Primary
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
060333300
FL
05
060333301
FL
05
060333302
FL
05
060333317
FL
05
141562000
FL
Enumeration date
05/27/2005
Last updated
04/04/2025
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