Organization
POP'S HOUSE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EDGARDO VEGA (OWNER)
(954) 746-8232
Entity
Organization
Contact information
Practice address
4101 NE 13TH AVE, POMPANO BEACH, FL 33064-6040
(954) 746-8232
(954) 746-8231
Mailing address
4101 NE 13TH AVE, POMPANO BEACH, FL 33064-6040
(954) 746-8232
(954) 746-8231
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
10D2039731
FL
Other
Enumeration date
07/30/2012
Last updated
01/07/2014
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