Organization
ECUAFAM INC.
Active
Parent organization
ECUAFAM INC.
Other names
Ecuafam Care Inc.
Organization subpart
Yes
Provider details
NPI number
Legal business name
ECUAFAM INC.
Authorized official
DANIEL CISNEROS (PRESIDENT)
(386) 215-7573
Entity
Organization
Contact information
Practice address
1569 BALTIMORE AVE, DELTONA, FL 32725-5633
(386) 215-7573
Mailing address
1569 BALTIMORE AVE, DELTONA, FL 32725-5633
(386) 215-7573
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
03/27/2019
Last updated
03/27/2019
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