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NPI 1760780753 · Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Miami, FL
Provider details
- NPI number
- 1760780753
- Entity type
- Organization
- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Venus Perez, Owner(786) 499-5580
- License
- 11-658-GH (FL)
Specialties & taxonomies
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityPrimary320900000XLicense 11-658-GH (FL)
Residential Treatment Facilities
Practice location
9715 Sw 73rd St
Miami, FL 33173-4625
Phone: (305) 255-3731
Fax: (305) 234-2039
Approximate (ZIP-level) locationGet directions
Mailing address
9715 Sw 73rd St
Miami, FL 33173-4625
Other names (DBA / former)
- Other name
- Agghinc
Registry dates
- Enumerated
- 2011-03-01
- Last updated
- 2011-03-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.