| Frank D Rosa, Cba | |
|
4882 Nw 4th Ter Miami FL 33126-2171 | |
| (305) 639-3049 | |
| (305) 639-3049 |
| Full Name | Frank D Rosa, Cba |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 4882 Nw 4th Ter, Miami, Florida |
| Authorized Official Name and Position | Frank David Rosa (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 3058018957 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Frank D Rosa, Cba 11233 Nw 50th Ter Doral FL 33178-3543 Ph: () - | Frank D Rosa, Cba 4882 Nw 4th Ter Miami FL 33126-2171 Ph: (305) 639-3049 |
| NPI Number | 1013211184 |
|---|---|
| Provider Enumeration Date | 01/04/2011 |
| Last Update Date | 01/04/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013211184 | NPI | - | NPPES |
| 673561496 | Other | FL | MEDICAID WAIVER - HOME AND COMMUNITY BASED SERVICES WAIVER |
| 673561498 | Other | FL | MEDICAID WAIVER - FAMILY AND SUPPORTED LIVING WAIVER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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