Organization
PEACEFUL ADULT DAY CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. NIURKA E MENA (OWNER)
(786) 709-7739
Entity
Organization
Contact information
Practice address
14900 SW 136TH ST STE 107, MIAMI, FL 33196-5632
(786) 709-7739
Mailing address
10311 SW 51ST ST, MIAMI, FL 33165-6230
(786) 709-7739
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9524
—
FL
Enumeration date
11/22/2021
Last updated
11/22/2021
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