Organization
ELIJAH NETWORK FAMILY AND COMMUNITY ALLIANCE, INC.
Active
Organization
ELIJAH NETWORK FAMILY AND COMMUNITY ALLIANCE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KATHLEEN THERESE WITTE C.P.P. (EXECUTIVE DIRECTOR)
(786) 253-6921
Entity
Organization
Contact information
Practice address
27500 OLD DIXIE HWY, #7, HOMESTEAD, FL 33032-8217
(786) 253-6921
Mailing address
27500 OLD DIXIE HWY, #7, HOMESTEAD, FL 33032-8217
(786) 253-6921
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
08/20/2014
Last updated
08/20/2014
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