Organization
FANTASTIC ADULT DAYCARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FELIX FERREIRO (OWNER/ADMIN)
(786) 239-2358
Entity
Organization
Contact information
Practice address
6878 SW 24TH ST, MIAMI, FL 33155-1704
(305) 456-0407
(305) 456-7398
Mailing address
6878 SW 24TH ST, MIAMI, FL 33155-1704
(305) 456-0407
(305) 456-7398
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
9590
AHCA
FL
Enumeration date
02/01/2024
Last updated
02/01/2024
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