Organization
A1 SENIOR CLUB INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RAFAEL BRAVO ACOSTA (PRESIDENT)
(786) 201-1088
Entity
Organization
Contact information
Practice address
2505 NW 54TH ST, MIAMI, FL 33142-2947
(786) 964-4045
Mailing address
2505 NW 54TH ST, MIAMI, FL 33142-2947
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
—
—
Other
Enumeration date
04/07/2025
Last updated
04/07/2025
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