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Organization

EDWARDS FAMILY CARE CENTER INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. TERRANCE EDWARDS (OWNER)
(305) 901-9815
Entity
Organization

Contact information

Practice address
1261 NW 171ST ST, MIAMI GARDENS, FL 33169-5212
(305) 901-9815
Mailing address
1261 NW 171ST ST, MIAMI GARDENS, FL 33169-5212

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
104100000X
Social Worker
106S00000X
Behavior Technician
174200000X
Meals Provider
251B00000X
Case Management Agency
251S00000X
Community/Behavioral Health Agency
Primary
253Z00000X
In Home Supportive Care Agency
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
261QM0850X
Adult Mental Health Clinic/Center
320800000X
Mental Illness Community Based Residential Treatment Facility
332800000X
Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy
343900000X
Non-emergency Medical Transport (VAN)
374U00000X
Home Health Aide

Other

Enumeration date
07/26/2022
Last updated
08/23/2022
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