Organization
MEDLIFE ACTIVITY CENTER, LLC
Active
Other names
Medlife Adult Activity Center
Organization subpart
No
Provider details
NPI number
Authorized official
CELIA MARIA LOPEZ HORNIA (ADMINISTRATOR)
(305) 588-0570
Entity
Organization
Contact information
Practice address
11825 SW 26TH ST, MIAMI, FL 33175-2464
(305) 588-0570
(786) 837-2902
Mailing address
11825 SW 26TH ST, MIAMI, FL 33175-2464
(305) 588-0570
(786) 837-2902
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
9290
FL
Other
Enumeration date
10/10/2014
Last updated
10/10/2014
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