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Ki Wellness & Healing Center Inc.

Clinic/Center

Ambulatory Health Care Facilities

1250 SW 27th Ave Ste 305, Miami, FL 33135-4749

PECOS Enrollment

Based on the most recent information from CMS, provider Ki Wellness & Healing Center Inc. does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records yesterday at 12:57 PM.

Profile Details

Provider ID
1518399674
Provider Type
Organization
Full Name
Ki Wellness & Healing Center Inc.

Subpart
No
Enumeration Date
7/31/2013
Last Updated
8/2/2013

Contact Information

Practice Location

1250 SW 27th Ave Ste 305, Miami, FL 33135-4749

(305) 643-0896

(305) 643-4011

Mailing Location

1250 SW 27th Ave Ste 305, Miami, FL 33135-4749

(305) 643-0896

(305) 643-4011

Authorized Official

De Los Santos, Winy E (Office Manager)

(786) 619-5281

Provider Taxonomies

Code	Description	License
Code 261Q00000X Primary	Description Clinic/Center Ambulatory Health Care Facilities	License HCC9845 Florida

Ki Wellness & Healing Center Inc.

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Authorized Official

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Description

License

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