Healthcare Provider Details

I. General information

NPI: 1841679149
Provider Name (Legal Business Name): AMERIBELGE CENTER FOR EDUCATION INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/20/2015
Last Update Date: 05/20/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4000 N STATE ROAD 7 STE 408
LAUDERDALE LAKES FL
33319-4864
US

IV. Provider business mailing address

733 NW 2ND AVE
FORT LAUDERDALE FL
33311-7410
US

V. Phone/Fax

Practice location:
  • Phone: 954-691-8504
  • Fax: 305-831-1418
Mailing address:
  • Phone: 954-691-8504
  • Fax: 305-831-1418

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: MRS. MARIE MONIQUE JACQUES-LOUIS
Title or Position: EXECUTIVE DIRECTOR
Credential: BSW/MS.ED
Phone: 954-691-8504