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Organization

KISMET COTTAGE, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. VINETTE ALEXANDER (ASSISTANT ADMINISTRATOR)
(954) 709-6545
Entity
Organization

Contact information

Practice address
7642 KISMET ST, MIRAMAR, FL 33023-5949
(954) 709-6545
Mailing address
12335 NW 51ST ST, CORAL SPRINGS, FL 33076-3446
(954) 709-6545
(954) 369-4742

Taxonomy

Speciality
Code
Description
License number
State
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
Primary

Other

Enumeration date
04/10/2016
Last updated
04/10/2016
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