Organization
ARK PROVISION ENTERPRISES, INC.
Active
Organization
ARK PROVISION ENTERPRISES, INC.
Active
Parent organization
ARK PROVISION ENTERPRISES INC
Organization subpart
Yes
Provider details
NPI number
Legal business name
ARK PROVISION ENTERPRISES INC
Authorized official
VICENTE CHANG (VP)
(786) 655-9992
Entity
Organization
Contact information
Practice address
5911 NW 173RD DR UNIT 11, HIALEAH, FL 33015-5122
(786) 655-9992
(786) 734-8142
Mailing address
17333 NW 62ND PL, HIALEAH, FL 33015-4502
(305) 826-3256
Taxonomy
Speciality
Code
Description
License number
State
261QD1600X
Developmental Disabilities Clinic/Center
Primary
—
—
Other
Enumeration date
08/17/2021
Last updated
08/17/2021
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