Organization · Type 2 NPI

Old Dominium, Inc

Assisted Living Facility (Mental Illness) · Miami, FL

NPI number 1497934954 Active

Practice location

9820 SW 72nd St
Miami, FL 33173-4618

Specialties and licenses

Taxonomy	Code	License
Assisted Living Facility (Mental Illness) Primary	3104A0625X	AL11130 (FL)

Assisted Living Facility (Mental Illness): A facility providing supportive services to individuals who can function independently in most areas of activity, but need special guidance, assistance and/or monitoring as the result of a psychiatric problem. This type of facility requires a staff with special training in mental health training and dealing with psychiatric emergencies.

2 other providers at this address

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About NPI 1497934954

Old Dominium, Inc's National Provider Identifier is 1497934954, issued on Oct 31, 2007. The primary taxonomy on file is Assisted Living Facility (Mental Illness) (3104A0625X), and the practice location is in Miami, FL. The record was last updated on Oct 31, 2007.