Provider Demographics
NPI:1477860484
Name:THE ASSOCIATION FOR DEVELOPMENT OF THE EXCEPTIONAL, INC.
Entity Type:Organization
Organization Name:THE ASSOCIATION FOR DEVELOPMENT OF THE EXCEPTIONAL, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:HELENA
Authorized Official - Middle Name:
Authorized Official - Last Name:DEL MONTE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:786-363-3100
Mailing Address - Street 1:25 E 4TH ST
Mailing Address - Street 2:
Mailing Address - City:HIALEAH
Mailing Address - State:FL
Mailing Address - Zip Code:33010-4837
Mailing Address - Country:US
Mailing Address - Phone:786-363-3100
Mailing Address - Fax:786-363-3101
Practice Address - Street 1:2801 N MIAMI AVE
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33127-3931
Practice Address - Country:US
Practice Address - Phone:786-363-3100
Practice Address - Fax:786-363-3101
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-09-13
Last Update Date:2010-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL024988298Medicaid
FL024988296Medicaid