Provider Demographics
NPI:1720267362
Name:ALL CARE RESIDENTIAL TREATMENT CENTERS, INC.
Entity Type:Organization
Organization Name:ALL CARE RESIDENTIAL TREATMENT CENTERS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:SUSANA
Authorized Official - Middle Name:C
Authorized Official - Last Name:RODRIGUEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:786-251-1318
Mailing Address - Street 1:18969 SW 80TH CT
Mailing Address - Street 2:
Mailing Address - City:CUTLER BAY
Mailing Address - State:FL
Mailing Address - Zip Code:33157-7429
Mailing Address - Country:US
Mailing Address - Phone:786-251-1318
Mailing Address - Fax:305-378-9441
Practice Address - Street 1:18901 SW 97TH AVE
Practice Address - Street 2:
Practice Address - City:CUTLER BAY
Practice Address - State:FL
Practice Address - Zip Code:33157-7830
Practice Address - Country:US
Practice Address - Phone:786-251-1318
Practice Address - Fax:305-378-9441
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-31
Last Update Date:2007-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL11656GH320600000X
FL11744GH320600000X
FL11468GH320600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320600000XResidential Treatment FacilitiesResidential Treatment Facility, Intellectual and/or Developmental Disabilities