| South Dade Homeless Assistance Center | |
|
28205 Sw 125th Ave Homestead FL 33033-1250 | |
| (305) 416-7149 | |
| (305) 585-5259 |
| Full Name | South Dade Homeless Assistance Center |
|---|---|
| Speciality | Clinic/center - Community Health |
| Location | 28205 Sw 125th Ave, Homestead, Florida |
| Authorized Official Name and Position | Mark T Knight (CHIEF FINANCIAL OFFICER) |
| Authorized Official Contact | 3055857979 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| South Dade Homeless Assistance Center Po Box 12493 Miami FL 33101-2493 Ph: (786) 466-8080 | South Dade Homeless Assistance Center 28205 Sw 125th Ave Homestead FL 33033-1250 Ph: (305) 416-7149 |
| NPI Number | 1801966676 |
|---|---|
| Provider Enumeration Date | 11/09/2006 |
| Last Update Date | 04/06/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801966676 | NPI | - | NPPES |
| 010042135 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QC1500X | Clinic/center - Community Health | (* (Not Available)) | Primary |
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