Organization
PRESERVERS OF DESTINIES INC
Active
Parent organization
PRESERVERS OF DESTINIES, INC
Organization subpart
Yes
Provider details
NPI number
Legal business name
PRESERVERS OF DESTINIES, INC
Authorized official
MARISOL LUGO (CEO)
(407) 847-4152
Entity
Organization
Contact information
Practice address
1621 E VINE ST, KISSIMMEE, FL 34744-3730
(407) 847-4152
Mailing address
1621 E VINE ST, KISSIMMEE, FL 34744-3730
(407) 847-4152
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
08/17/2021
Last updated
09/09/2021
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