| Greater Harvest Community Outreach Life Center | |
|
4888 Nw 183rd St Ste 215 Miami Gardens FL 33055-2943 | |
| (954) 591-0896 | |
| Not Available |
| Full Name | Greater Harvest Community Outreach Life Center |
|---|---|
| Speciality | Clinic/center - Community Health |
| Location | 4888 Nw 183rd St Ste 215, Miami Gardens, Florida |
| Authorized Official Name and Position | Gerald Ealey (OWNER) |
| Authorized Official Contact | 7865658377 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Greater Harvest Community Outreach Life Center 17950 Nw 22nd Ct Miami Gardens FL 33056-3706 Ph: (786) 565-8377 | Greater Harvest Community Outreach Life Center 4888 Nw 183rd St Ste 215 Miami Gardens FL 33055-2943 Ph: (954) 591-0896 |
| NPI Number | 1689228884 |
|---|---|
| Provider Enumeration Date | 07/26/2019 |
| Last Update Date | 07/26/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689228884 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QC1500X | Clinic/center - Community Health | (* (Not Available)) | Primary |
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