Provider First Line Business Practice Location Address:
2171 NW 56TH ST
Provider Second Line Business Practice Location Address:
HOSANNA COMMUNITY FOUNDATION, INC.
Provider Business Practice Location Address City Name:
MIAMI
Provider Business Practice Location Address State Name:
FL
Provider Business Practice Location Address Postal Code:
33142-3011
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
305-610-4164
Provider Business Practice Location Address Fax Number:
305-637-4474
Provider Enumeration Date:
12/11/2014