Organization
COPACABANA ADULT DAY CARE CENTER CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DANIEL SANCHEZ (PRESIDENT)
(786) 879-2000
Entity
Organization
Contact information
Practice address
3800 W 12TH AVE, SUITE 2, HIALEAH, FL 33012-7793
(786) 879-2000
Mailing address
3800 W 12TH AVE, SUITE 2, HIALEAH, FL 33012-7793
(786) 879-2000
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
9124
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AD12962188
LICENSE NUMBER
FL
Enumeration date
09/15/2010
Last updated
09/15/2010
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