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Organization

CALVINELLE SOUTH ALF

Active
Organization subpart
No

Provider details

NPI number
Authorized official
CALVIN C BROWN (ADMINISTRATOR)
(954) 551-6363
Entity
Organization

Contact information

Practice address
1750 NW 41ST ST, MIAMI, FL 33142-4865
(954) 551-6363
Mailing address
1750 NW 41ST ST, MIAMI, FL 33142-4865
(954) 551-6363

Taxonomy

Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
AL12229
FL

Other

Enumeration date
03/06/2013
Last updated
03/06/2013
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