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NPI 1841679149

NPI 1841679149 : AMERIBELGE CENTER FOR EDUCATION INC : LAUDERDALE LAKES, FL

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General NPI Number Information
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    NPI Number           |    1841679149
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    Entity Type          |    Organization 
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    Legal Business Name  |    AMERIBELGE CENTER FOR EDUCATION INC 
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Dates
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    Enumeration Date     |    05/20/2015
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    Last Update Date     |    05/20/2015
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Provider Practice Location Address
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    Address Line         |    4000 N STATE ROAD 7 STE 408 
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    City                 |    LAUDERDALE LAKES
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    State                |    FL
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    Zip                  |    33319-4864
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    Country              |    US
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    Telephone            |    954-691-8504
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    Fax                  |    305-831-1418
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Provider Business Mailing Address
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    Address Line         |    733 NW 2ND AVE 
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    City                 |    FORT LAUDERDALE
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    State                |    FL
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    Zip                  |    33311-7410
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    Country              |    US
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    Telephone            |    954-691-8504
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    Fax                  |    305-831-1418
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Authorized Official
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    Title or Position    |    EXECUTIVE DIRECTOR
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    Name                 |    MRS. MARIE MONIQUE JACQUES-LOUIS 
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    Credential           |    BSW/MS.ED
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    Telephone            |    954-691-8504
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    253Z00000X
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    Taxonomy Name        |    In Home Supportive Care Agency
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    License Number       |    
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    License Number State |    
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Taxonomy #2
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    Taxonomy Code        |    251B00000X
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    Taxonomy Name        |    Case Management Agency
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    License Number       |    
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    License Number State |    
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