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My Campo Feliz Inc
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Miami, Florida
NPI 1336689413

My Campo Feliz Inc is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility based in Miami, FL. My Campo Feliz Inc practices in Miami, FL. The NPI Number for My Campo Feliz Inc is 1336689413 and holds a License No. (Florida).

The current practice location address for My Campo Feliz Inc is 856 Nw 136Th Ave, Miami, FL and can be reached out via phone at 786-423-7637 and via fax at 305-485-0876.

Location: 856 Nw 136Th Ave, Miami, FL, 33182-2600
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1336689413
Provider Name
My Campo Feliz Inc
Credential
Provider Entity Type
Organization
Address
856 Nw 136Th Ave, Miami, FL, 33182-2600
Phone Number
786-423-7637
Fax Number
305-485-0876
Provider Enumeration Date
03/08/2017
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
603042 01 FL ATN PROVIDER ENROLLMENT FL MEDICAID
institution
Provider Business Practice Location Address Details
Address
856 Nw 136Th Ave
City
Miami
State
Florida
Zip
33182-2600
Phone Number
786-423-7637
Fax Number
305-485-0876
person
Provider Business Mailing Address Details
Address
856 Nw 136Th Ave
City
Miami
State
Florida
Zip
33182-2600
Phone Number
786-423-7637
Fax Number
305-485-0876
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.
()
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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