10D2249164 CLIA NUMBER - AMERICAN COMMUNITY HEALTH AND WELLNESS CENTER LLC

Laboratory Demographics

CLIA Number: 10D2249164

Facility Name: AMERICAN COMMUNITY HEALTH AND WELLNESS CENTER LLC

Facility Address:
3241 NW 7 ST
MIAMI, FL
ZIP 33125
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Facility Phone Number: 305 903-0137

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1407467269

Taxonomy: 372600000X - Adult Companion
An individual who provides supervision, socialization, and non-medical care to a functionally impaired adult. Companions may assist or supervise the individual with such tasks as meal preparation, laundry and shopping, but do not perform these activities as discrete services. These services are provided in accordance with a therapeutic goal in the plan of care.

CLIA Record

Field Name	Field Value
CLIA Number	10D2249164
LAB Type	Physician Office
Facility Name	AMERICAN COMMUNITY HEALTH AND WELLNESS CENTER LLC
Street	3241 NW 7 ST
City	MIAMI
State	FL
ZIP	33125
Phone	305 903-0137
CertificateType	4
CertificateEffectiveDate	1/19/2024
CertificateExpirationDate	1/18/2026
FacilityType	Waiver

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This page was last updated on: 4/23/2024