Provider Demographics
NPI:1669863866
Name:FUNDACION HABLANDO DE MUJER A MUJER, INC
Entity Type:Organization
Organization Name:FUNDACION HABLANDO DE MUJER A MUJER, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:MARISOL
Authorized Official - Middle Name:
Authorized Official - Last Name:LUGO
Authorized Official - Suffix:
Authorized Official - Credentials:BS
Authorized Official - Phone:407-429-1144
Mailing Address - Street 1:1156 E VINE ST
Mailing Address - Street 2:
Mailing Address - City:KISSIMMEE
Mailing Address - State:FL
Mailing Address - Zip Code:34744-3579
Mailing Address - Country:US
Mailing Address - Phone:407-483-3909
Mailing Address - Fax:407-483-3911
Practice Address - Street 1:2102 COLE TRL
Practice Address - Street 2:
Practice Address - City:KISSIMMEE
Practice Address - State:FL
Practice Address - Zip Code:34743-3720
Practice Address - Country:US
Practice Address - Phone:407-429-1144
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-02-09
Last Update Date:2015-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management