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The Iclt Summer Place Inc
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Opa Locka, Florida
NPI 1144974627

The Iclt Summer Place Inc is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility based in Opa Locka, FL. The Iclt Summer Place Inc practices in Opa Locka, FL. The NPI Number for The Iclt Summer Place Inc is 1144974627 and holds a License No. (Florida).

The current practice location address for The Iclt Summer Place Inc is 350 Aladdin St, Opa Locka, FL and can be reached out via phone at 305-769-9438.

Location: 350 Aladdin St, Opa Locka, FL, 33054-3533
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1144974627
Provider Name
The Iclt Summer Place Inc
Credential
Provider Entity Type
Organization
Address
350 Aladdin St, Opa Locka, FL, 33054-3533
Phone Number
305-769-9438
Fax Number
Provider Enumeration Date
02/04/2022
Last Update Date
03/13/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
686464396 05 FL
institution
Provider Business Practice Location Address Details
Address
350 Aladdin St
City
Opa Locka
State
Florida
Zip
33054-3533
Phone Number
305-769-9438
Fax Number
person
Provider Business Mailing Address Details
Address
350 Aladdin St
City
Opa Locka
State
Florida
Zip
33054-3533
Phone Number
305-769-9438
Fax Number
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Speciality
-
Taxonomy
320900000X
License No.
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Definition
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.
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