Provider Demographics
NPI:1932776200
Name:PUPO'S LOVABLE FAMILY INC.
Entity type:Organization
Organization Name:PUPO'S LOVABLE FAMILY INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:REY
Authorized Official - Middle Name:MOISES
Authorized Official - Last Name:PUPO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:239-710-2904
Mailing Address - Street 1:626 NW 33RD AVE
Mailing Address - Street 2:
Mailing Address - City:CAPE CORAL
Mailing Address - State:FL
Mailing Address - Zip Code:33993-5628
Mailing Address - Country:US
Mailing Address - Phone:239-710-2904
Mailing Address - Fax:
Practice Address - Street 1:626 NW 33RD AVE
Practice Address - Street 2:
Practice Address - City:CAPE CORAL
Practice Address - State:FL
Practice Address - Zip Code:33993-5628
Practice Address - Country:US
Practice Address - Phone:239-710-2904
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-06-07
Last Update Date:2021-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health