# BLUE ANGEL ADULT DAY CARE

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1487955225
- **Authorized official:** MRS. MARIA C DANIEL BS, RMA (ADMINISTRATOR)
- **Authorized official phone:** (305) 480-6787

## Contact information

- **Practice address:** 4057 SW 152ND AVE, MIAMI, FL 33185-5926
- **Practice address phone:** (305) 480-6787
- **Practice address fax:** (305) 221-6366
- **Mailing address:** 4057 SW 152ND AVE, MIAMI, FL 33185-5926
- **Mailing address phone:** (305) 480-6787
- **Mailing address fax:** (305) 221-6366

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 311ZA0620X | Adult Care Home Facility | 9145 | FL | Yes |

## Other

- **Enumeration date:** 11/10/2010
- **Last updated:** 11/10/2010
