Organization
SUPREME ADULT DAY CARE, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VIVIAN FLEITAS (PRESIDENT)
(305) 846-9345
Entity
Organization
Contact information
Practice address
8250 W 21ST LN STE 100, HIALEAH, FL 33016-1908
(305) 846-9345
(305) 392-0316
Mailing address
8250 W 21ST LN STE 100, HIALEAH, FL 33016-1908
(305) 846-9345
(305) 392-0316
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
—
—
Other
Enumeration date
04/10/2022
Last updated
04/10/2022
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