Organization
FREIRE'S GROUP APD CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KERLY BASULTO (MANAGER)
(305) 546-0105
Entity
Organization
Contact information
Practice address
12900 SW 25TH TER, MIAMI, FL 33175-1850
(305) 225-7669
Mailing address
12900 SW 25TH TER, MIAMI, FL 33175-1850
(305) 225-7669
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
11-834-GH
FL
Other
Enumeration date
02/23/2016
Last updated
02/23/2016
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