Organization
ULTRA CARE COMMUNITY WELLNESS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DELVIS HERNANDEZ MEDINA (OWNER/PRESIDENT)
(786) 368-0038
Entity
Organization
Contact information
Practice address
353 W 23RD ST, HIALEAH, FL 33010-1441
(786) 368-0038
Mailing address
353 W 23RD ST, HIALEAH, FL 33010-1441
(786) 368-0038
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
02/05/2020
Last updated
02/05/2020
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