| Ark Provision Enterprises, Inc. | |
|
5911 Nw 173rd Dr Unit 11 Hialeah FL 33015-5122 | |
| (786) 655-9992 | |
| (786) 734-8142 |
| Full Name | Ark Provision Enterprises, Inc. |
|---|---|
| Speciality | Behavior Analyst |
| Location | 5911 Nw 173rd Dr Unit 11, Hialeah, Florida |
| Authorized Official Name and Position | Luisa Ramirez (CEO) |
| Authorized Official Contact | 7864864026 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ark Provision Enterprises, Inc. 17333 Nw 62nd Pl Hialeah FL 33015-4502 Ph: (786) 486-4026 | Ark Provision Enterprises, Inc. 5911 Nw 173rd Dr Unit 11 Hialeah FL 33015-5122 Ph: (786) 655-9992 |
| NPI Number | 1598120156 |
|---|---|
| Provider Enumeration Date | 12/28/2015 |
| Last Update Date | 07/22/2021 |
| Certification Date | 07/22/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598120156 | NPI | - | NPPES |
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