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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