Organization
SIERRA DEVELOPMENTAL ENTERPRISE CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CLEMENTE SIERRA (DIRECTOR)
(305) 877-3198
Entity
Organization
Contact information
Practice address
10030 NICARAGUA DR, CUTLER BAY, FL 33189-2337
(305) 877-3198
Mailing address
10030 NICARAGUA DR, CUTLER BAY, FL 33189-2337
(305) 877-3198
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
690303796
—
FL
Enumeration date
12/29/2011
Last updated
12/29/2011
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