Organization
PENATE ADULT DAYCARE 4 LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CLARA PENATE (PRESIDENT)
(786) 725-3822
Entity
Organization
Contact information
Practice address
4847 NW 183RD ST, MIAMI GARDENS, FL 33055-2955
(786) 725-3822
(786) 577-5253
Mailing address
4847 NW 183RD ST, MIAMI GARDENS, FL 33055-2955
(786) 725-3822
(786) 577-5253
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
—
—
Other
Enumeration date
04/15/2021
Last updated
04/15/2021
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