Organization
FOREVER LIFE HEALTHCARE SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MIRIAM RINCON RBT (AP)
(786) 406-5380
Entity
Organization
Contact information
Practice address
3900 NW 79TH AVE STE 223, DORAL, FL 33166-6546
(786) 955-5117
Mailing address
3900 NW 79TH AVE STE 223, DORAL, FL 33166-6546
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
01/18/2018
Last updated
01/18/2018
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