Provider Demographics
NPI:1114488236
Name:ESTRABAO HEALTH SERVICES, INC
Entity Type:Organization
Organization Name:ESTRABAO HEALTH SERVICES, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:CHRISTINE
Authorized Official - Middle Name:
Authorized Official - Last Name:ESTRABAO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-796-4363
Mailing Address - Street 1:10362 SW 11TH ST
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33174-2707
Mailing Address - Country:US
Mailing Address - Phone:305-796-4363
Mailing Address - Fax:
Practice Address - Street 1:10362 SW 11TH ST
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33174-2707
Practice Address - Country:US
Practice Address - Phone:305-796-4363
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-03-29
Last Update Date:2019-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care