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1013683440
ARK PROVISION ENTERPRISES, INC.
HIALEAH, FL
NPI
1013683440
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Entity Type
Organization
Authorized Contact
VICENTE CHANG
VP
786-655-9992
Organization Subpart ?
Yes
Primary Taxonomy
261QD1600X Clinic/Center, Developmental Disabilities
Enumeration Date
2021-08-17
Last Update Date
2021-08-17
Business Address
ARK PROVISION ENTERPRISES, INC.
5911 NW 173RD DR UNIT 11
HIALEAH, FL 33015-5122
Phone number: 786-655-9992
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Mailing Address
ARK PROVISION ENTERPRISES, INC.
17333 NW 62ND PL
HIALEAH, FL 33015-4502
Phone number: 305-826-3256
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