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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
653 SW 4TH ST, HOMESTEAD, FL 33030-6911
(305) 242-7676
(305) 242-7678
Mailing address
653 SW 4TH ST, HOMESTEAD, FL 33030-6911
(305) 242-7676
(305) 242-7678

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
8844
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
670671100
FL
Enumeration date
04/01/2014
Last updated
04/01/2014
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