Organization
EBENEZER CASE MANAGEMENT SERVICES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DENIA LAZO SANTALLA (BS / PRESIDENT)
(786) 227-0804
Entity
Organization
Contact information
Practice address
2001 NW 7TH ST, STE # 104, MIAMI, FL 33125-3479
(305) 640-5065
(305) 640-5065
Mailing address
2001 NW 7TH ST, STE # 104, MIAMI, FL 33125-3479
(305) 640-5065
(305) 640-5065
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
FL
Other
Enumeration date
11/05/2012
Last updated
11/05/2012
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