Organization
ELIJAH NETWORK FAMILY AND COMMUNITY ALLIANCE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHLEEN WITTE C.P.P. (CEO)
(786) 253-6921
Entity
Organization
Contact information
Practice address
27500 OLD DIXIE HWY, HOMESTEAD, FL 33032-8217
(786) 253-6921
(786) 345-5918
Mailing address
PO BOX 700006, MIAMI, FL 33170-0006
(786) 253-6921
(786) 345-5918
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
10/28/2014
Last updated
10/28/2014
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