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Organization

CALVINELLE CARE CONCEPT, LLC

Active
Other names
calvinelle adult home alf
Organization subpart
No

Provider details

NPI number
Authorized official
GAYON DUNN ARNP (OWNER/ ADMINISTRATOR)
(305) 308-2728
Entity
Organization

Contact information

Practice address
1627 NW 62ND TER, MIAMI, FL 33147-7900
(305) 308-2728
Mailing address
1627 NW 62ND TER, MIAMI, FL 33147-7900
(305) 308-2728

Taxonomy

Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
006246600
FL
Enumeration date
01/28/2009
Last updated
03/13/2015
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