KBL MANOR INC NPI 1144463894

NPI Information

KBL MANOR INC is an assisted living and mental illness assisted living facility in Miami, FL. The provider is 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. KBL MANOR INC NPI is 1144463894. The provider is registered as an organization entity type.
The provider Is Doing Business As St. Joseph A.l.f..

The provider's business location address is:

16100 SW 101ST AVE
MIAMI, FL
ZIP 33157-216
Phone: (305) 251-4123

The provider's authorized official is Kadie C Kissoonlal .
The authorized official title is Administrator and has the following contact phone number (305) 251-4123.

The CLIA number assigned to this NPI record is 10D2201102 - assisted living facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/10/2009 and was last updated on 4/10/2009.

Taxonomy Codes

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Other Identifiers

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