Organization
MEDI-BILL PLUS INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MIYOSHI AGNEW CBCS (CEO)
(954) 336-3310
Entity
Organization
Contact information
Practice address
2040 NW 28TH ST, OAKLAND PARK, FL 33311-2116
(954) 336-3310
Mailing address
PO BOX 17244, PLANTATION, FL 33318-7244
(954) 336-3310
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
3245S0500X
Children's Substance Abuse Rehabilitation Facility
—
—
Other
Enumeration date
05/03/2011
Last updated
05/03/2011
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