MEDICARE: AMERICAN COUNSELING & EDUCATION CENTER

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	310400000X	Assisted Living Facility

General Provider Information

NPI Number	:	1194984658
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AMERICAN COUNSELING & EDUCATION CENTER

Provider Business Mailing Address
First Line	:	1864 NW 175TH ST
Second Line	:
City	:	MIAMI GARDENS
State	:	FL
Zip	:	33056-4840
Country	:	US
Telephone Number	:	305-624-4901
Fax Number	:

Provider Business Practice Location Address
First Line	:	1864 NW 175TH ST
Second Line	:
City	:	MIAMI GARDENS
State	:	FL
Zip	:	33056-4840
Country	:	US
Telephone Number	:	305-624-4901
Fax Number	:

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	MR. DARON ROLLE
Credential	:
Telephone Number	:	305-624-4901

Provider Enumeration Date	:	06/09/2008
Last Update Date	:	06/09/2008

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