Provider Demographics
NPI:1043095755
Name:FUNDACION MUJERES RESTAURADAS, CORP.
Entity Type:Organization
Organization Name:FUNDACION MUJERES RESTAURADAS, CORP.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:OLIVA
Authorized Official - Middle Name:
Authorized Official - Last Name:SALDANA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:321-948-4573
Mailing Address - Street 1:9577 VENEZIA PLANTATION DR
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32829-8115
Mailing Address - Country:US
Mailing Address - Phone:321-948-4573
Mailing Address - Fax:855-719-5888
Practice Address - Street 1:9577 VENEZIA PLANTATION DR
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32829-8115
Practice Address - Country:US
Practice Address - Phone:321-948-4573
Practice Address - Fax:855-719-5888
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-08-30
Last Update Date:2023-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty