Provider Demographics
NPI:1558926485
Name:KOLO BUSINESS CENTER
Entity type:Organization
Organization Name:KOLO BUSINESS CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:WILBERT
Authorized Official - Middle Name:
Authorized Official - Last Name:VALCIN
Authorized Official - Suffix:
Authorized Official - Credentials:MBA
Authorized Official - Phone:561-294-6772
Mailing Address - Street 1:1186 OAKWATER DR
Mailing Address - Street 2:
Mailing Address - City:ROYAL PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33411-6106
Mailing Address - Country:US
Mailing Address - Phone:561-753-3347
Mailing Address - Fax:
Practice Address - Street 1:1186 OAKWATER DR
Practice Address - Street 2:
Practice Address - City:ROYAL PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33411-6106
Practice Address - Country:US
Practice Address - Phone:561-753-3347
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-05-06
Last Update Date:2019-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251E00000XAgenciesHome Health
No163WH0200XNursing Service ProvidersRegistered NurseHome HealthGroup - Multi-Specialty
No344600000XTransportation ServicesTaxi
No347C00000XTransportation ServicesPrivate Vehicle
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL0OtherN/A
FL00000OtherN/A