Provider Demographics
NPI:1851060842
Name:BUTTERFLY WOLD CARE & SERVICES, INC
Entity Type:Organization
Organization Name:BUTTERFLY WOLD CARE & SERVICES, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:AMARELIS
Authorized Official - Middle Name:
Authorized Official - Last Name:FELIPE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:786-374-1745
Mailing Address - Street 1:4951 SW 17TH ST
Mailing Address - Street 2:
Mailing Address - City:FORT LAUDERDALE
Mailing Address - State:FL
Mailing Address - Zip Code:33317-6103
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:4951 SW 17TH ST
Practice Address - Street 2:
Practice Address - City:FORT LAUDERDALE
Practice Address - State:FL
Practice Address - Zip Code:33317-6103
Practice Address - Country:US
Practice Address - Phone:786-374-1745
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-09-13
Last Update Date:2021-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD1600XAmbulatory Health Care FacilitiesClinic/CenterDevelopmental Disabilities