Organization
CALVINELLE CARE CONCEPT, LLC
Active
Parent organization
CALVINELLECCARE CONCEPT, LLC
Other names
Calvinelle Adult Home Alf, #2
Organization subpart
Yes
Provider details
NPI number
Legal business name
CALVINELLECCARE CONCEPT, LLC
Authorized official
MS. GAYON DIANA DUNN RN (PRESIDENT)
(305) 308-2728
Entity
Organization
Contact information
Practice address
1786 NW 47TH TER, MIAMI, FL 33142-4071
(305) 308-2728
(305) 640-8316
Mailing address
6151 MIRAMAR PKWY, SUITE 310, MIRAMAR, FL 33023-3970
(305) 308-2728
(305) 640-8316
Taxonomy
Speciality
Code
Description
License number
State
3104A0625X
Assisted Living Facility (Mental Illness)
Primary
AL11635
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
006246600
—
FL
Enumeration date
02/28/2013
Last updated
03/10/2015
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