Organization
PROFESSIONAL ADULT DAY CARE, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANA PENA (OWNER)
(305) 582-6690
Entity
Organization
Contact information
Practice address
4967 W 6TH AVE, HIALEAH, FL 33012-3803
(305) 582-6690
Mailing address
4967 W 6TH AVE, HIALEAH, FL 33012-3803
(305) 582-6690
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
9188
FL
Other
Enumeration date
01/25/2012
Last updated
01/25/2012
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