Provider Demographics
NPI:1801430129
Name:ADVANCE THERAPY 4 YOU, INC
Entity type:Organization
Organization Name:ADVANCE THERAPY 4 YOU, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:EVELYN
Authorized Official - Middle Name:
Authorized Official - Last Name:ALBO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:786-301-1570
Mailing Address - Street 1:15861 NW 52ND AVE APT 206
Mailing Address - Street 2:
Mailing Address - City:MIAMI GARDENS
Mailing Address - State:FL
Mailing Address - Zip Code:33014-6211
Mailing Address - Country:US
Mailing Address - Phone:786-301-1570
Mailing Address - Fax:
Practice Address - Street 1:15861 NW 52ND AVE APT 206
Practice Address - Street 2:
Practice Address - City:MIAMI GARDENS
Practice Address - State:FL
Practice Address - Zip Code:33014-6211
Practice Address - Country:US
Practice Address - Phone:786-301-1570
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-10-30
Last Update Date:2019-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center