Organization
CALVINELLE ADULT HOME #2, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GAYON DUNN (OWNER / ADMINISTRATOR)
(305) 308-2728
Entity
Organization
Contact information
Practice address
1786 NW 47TH TER, MIAMI, FL 33142-4071
(305) 640-8316
(305) 640-8316
Mailing address
1786 NW 47TH TER, MIAMI, FL 33142-4071
(305) 640-8316
(305) 640-8316
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL11635
FL
Other
Enumeration date
07/18/2012
Last updated
07/18/2012
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