Fresh Horizons Alf
Community Health Worker in Vero Beach, FL(View on Map)
Legal Business Name
Fresh Horizons Alf
NPI Number
1649610510
NPI Type
Organization
Enumeration Date
06/25/2013
Specialties
(Taxonomies)Licenses
State
Florida
License Number
AL10323
Contact
Information
Purpose
Mailing
Location
Address
4836 35TH AVE
4836 35TH AVE
City
Vero Beach
Vero Beach
State
FL
FL
Postal Code
32967-1172
32967-1172
Country
US
US
Telephone Number
(772) 564-7271
(772) 564-7271
Authorized Official
Name
Ms. Barbara Andrews
Title or Position
ADMINISTRATOR
Telephone Number
(772) 562-1963
Identifiers
Identifier
AL10323
002968400
100319687
Identifier State
FL
FL
FL
Identifier Issuer
ACHCA
MEDICARE
LICENCE
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 06/25/2013
Provider Address
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