Organization
MIAMI DADE COUNTY COMMUNITY ACTION AND HUMAN SERVICES DEPARTMENT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. EDELINE BEAUVAIS MONDESTIN RN, BSN (ACTING CHIEF, ELDERLY SERVICES)
(786) 469-4600
Entity
Organization
Contact information
Practice address
701 NW 1ST CT FL 11, MIAMI, FL 33136-3902
(786) 469-4600
Mailing address
701 NW 1ST CT FL 11, MIAMI, FL 33136-3902
(786) 469-4600
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
4997
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
670671100
—
FL
Enumeration date
04/02/2014
Last updated
04/02/2014
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