Organization
OBANGUALA, INC
Active
Organization
OBANGUALA, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARIANA P ABRAHAM (PRESIDENT)
(305) 863-7307
Entity
Organization
Contact information
Practice address
719 E 9TH ST, HIALEAH, FL 33010-4553
(305) 863-7307
(305) 863-7347
Mailing address
719 E 9TH ST, HIALEAH, FL 33010-4553
(305) 863-7307
(305) 863-7347
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
FL
251G00000X
Community Based Hospice Care Agency
—
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001248200
—
FL
05
—
003014900
—
FL
Enumeration date
09/13/2010
Last updated
08/05/2014
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