Organization
MESA ADULT CARE CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JULIAN MESA (PRESIDENT)
(305) 307-6965
Entity
Organization
Contact information
Practice address
2668 SW 137TH AVE, MIAMI, FL 33175-6314
(305) 220-1887
(305) 220-1881
Mailing address
2668 SW 137TH AVE, MIAMI, FL 33175-6314
(305) 307-6965
(305) 220-1881
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
9146
FL
Other
Enumeration date
08/31/2010
Last updated
08/31/2010
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