Provider Demographics
NPI:1235138207
Name:MIAMIDADECOUNTYDEPARTMENT OF HUMAN SERVICES DSAIL
Entity Type:Organization
Organization Name:MIAMIDADECOUNTYDEPARTMENT OF HUMAN SERVICES DSAIL
Other - Org Name:ELDERLY DISABILITY AND VEFERANS SERVICES DIVISION
Other - Org Type:Other Name
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:EDELINE
Authorized Official - Middle Name:B
Authorized Official - Last Name:CLERMONT
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:305-547-5444
Mailing Address - Street 1:1335 NW 14TH ST
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33125-1647
Mailing Address - Country:US
Mailing Address - Phone:305-547-5444
Mailing Address - Fax:305-547-7355
Practice Address - Street 1:1335 NW 14TH ST
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33125-1647
Practice Address - Country:US
Practice Address - Phone:305-547-5444
Practice Address - Fax:305-547-7355
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-07-20
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services