Provider Demographics
NPI:1598921835
Name:EDUNEL HEALTH SERVICES INC
Entity Type:Organization
Organization Name:EDUNEL HEALTH SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ELISA
Authorized Official - Middle Name:C
Authorized Official - Last Name:GONZALEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-477-1984
Mailing Address - Street 1:1460 NW 107TH AVE
Mailing Address - Street 2:SUITE 41-N
Mailing Address - City:DORAL
Mailing Address - State:FL
Mailing Address - Zip Code:33172-2740
Mailing Address - Country:US
Mailing Address - Phone:305-477-1984
Mailing Address - Fax:305-477-1986
Practice Address - Street 1:1460 NW 107TH AVE
Practice Address - Street 2:SUITE 41-N
Practice Address - City:DORAL
Practice Address - State:FL
Practice Address - Zip Code:33172-2740
Practice Address - Country:US
Practice Address - Phone:305-477-1984
Practice Address - Fax:305-477-1986
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-08-06
Last Update Date:2008-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLPENDINGOtherMEDICARE PENDING #