Organization
DELL HOMECARE FOR THE DEVELOPMENTALLY DISABLED
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. COLLEEN PATRICIA SMALL (OWNER)
(954) 661-3090
Entity
Organization
Contact information
Practice address
7551 KISMET ST, MIRAMAR, FL 33023-5946
(954) 391-9516
Mailing address
2960 NW 55TH AVE, APARTMENT 1 C, LAUDERHILL, FL 33313-1418
(954) 661-3090
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
—
—
Other
Enumeration date
08/16/2013
Last updated
09/30/2013
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