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Log Cabin Enterprises, Inc.
Intellectual Disabilities Intermediate Care Facility in Miami, Florida
NPI 1518339035

Log Cabin Enterprises, Inc. is a Intellectual Disabilities Intermediate Care Facility based in Miami, FL. Log Cabin Enterprises, Inc. practices in Miami, FL. The NPI Number for Log Cabin Enterprises, Inc. is 1518339035 and holds a License No. 4083095 (Florida).

The current practice location address for Log Cabin Enterprises, Inc. is 22300 Sw 162Nd Ave, Miami, FL and can be reached out via phone at 305-245-6150.

Location: 22300 Sw 162Nd Ave, Miami, FL, 33173-3432
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1518339035
Provider Name
Log Cabin Enterprises, Inc.
Credential
Provider Entity Type
Organization
Address
22300 Sw 162Nd Ave, Miami, FL, 33173-3432
Phone Number
305-245-6150
Fax Number
Provider Enumeration Date
10/23/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
22300 Sw 162Nd Ave
City
Miami
State
Florida
Zip
33170-3907
Phone Number
305-245-6150
Fax Number
person
Provider Business Mailing Address Details
Address
22300 Sw 162Nd Ave
City
Miami
State
Florida
Zip
33170-3907
Phone Number
305-245-6150
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Intermediate Care Facility, Mentally Retarded
Speciality
-
Taxonomy
315P00000X
License No.
4083095 (Florida)
Definition
(1) A public institution for care of the mentally retarded or people with related conditions. (2) An institution giving active treatment to mentally retarded or developmentally disabled persons or persons with related conditions. The primary purpose of the institution is to provide health or rehabilitative services to such individuals.
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