Organization
PROVIDA ADULT DAY CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARIO SEPULVEDA (OWNER)
(305) 602-5371
Entity
Organization
Contact information
Practice address
436 NE 125TH ST, NORTH MIAMI, FL 33161-4717
(305) 602-5371
Mailing address
7900 OAK LN STE 400, MIAMI LAKES, FL 33016-6001
(305) 602-5371
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
—
—
Other
Enumeration date
05/26/2026
Last updated
05/26/2026
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