Organization
APPLE CHILDREN'S NETWORK
Active
Organization subpart
No
Provider details
NPI number
Authorized official
OLGA I LOPEZ (PRESEIDENT)
(305) 542-1362
Entity
Organization
Contact information
Practice address
6625 W 4TH AVE APT 114, HIALEAH, FL 33012
(305) 542-1362
Mailing address
6625 W 4TH AVE APT 114, HIALEAH, FL 33012-6684
(305) 542-1362
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
FL
251C00000X
Developmentally Disabled Services Day Training Agency
—
FL
251E00000X
Home Health Agency
—
FL
253Z00000X
In Home Supportive Care Agency
Primary
—
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
651580100
—
FL
Enumeration date
06/28/2018
Last updated
06/29/2018
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