Organization
MI CASITA SENIORS CLUB ADULT DAY CARE CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YIDAVEISYS SALAMANCA (PRESIDENT)
(786) 780-6074
Entity
Organization
Contact information
Practice address
10758 SW 24TH ST, MIAMI, FL 33165-2493
(786) 598-0396
(786) 598-0399
Mailing address
10758 SW 24TH ST, MIAMI, FL 33165-2493
(786) 598-0396
(786) 598-0399
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
—
—
Other
Enumeration date
05/22/2019
Last updated
05/22/2019
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