Healthcare Provider Details

I. General information

NPI: 1215529409
Provider Name (Legal Business Name): WELL-LIFE COMMUNITY SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/09/2021
Last Update Date: 02/09/2021
Certification Date: 02/09/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1830 NW 7TH ST STE 227
MIAMI FL
33125-3562
US

IV. Provider business mailing address

1830 NW 7TH ST STE 227
MIAMI FL
33125-3562
US

V. Phone/Fax

Practice location:
  • Phone: 305-434-6097
  • Fax:
Mailing address:
  • Phone: 305-434-6097
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State

VIII. Authorized Official

Name: ALIORKY GARCIA AGUIAR
Title or Position: CEO
Credential:
Phone: 305-434-6097