Provider Demographics
NPI:1689248403
Name:XIAL SUPPORT COORDINATOR INC.
Entity Type:Organization
Organization Name:XIAL SUPPORT COORDINATOR INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:XIOMARA
Authorized Official - Middle Name:C
Authorized Official - Last Name:MARGOLLES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:786-803-1118
Mailing Address - Street 1:3690 SW 20TH ST
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33145-1757
Mailing Address - Country:US
Mailing Address - Phone:786-803-1118
Mailing Address - Fax:786-655-0470
Practice Address - Street 1:3690 SW 20TH ST
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33145-1757
Practice Address - Country:US
Practice Address - Phone:786-803-1118
Practice Address - Fax:786-655-0470
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-05-17
Last Update Date:2021-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services