Organization
SAN JUDAS TADEO COMMUNITY ADULT DAY CARE CORP
Active
Other names
Casa de Campo
Organization subpart
No
Provider details
NPI number
Authorized official
CYNTHIA DAVALOS (PRESIDENT)
(305) 408-0077
Entity
Organization
Contact information
Practice address
15628 SW 72 STREET, MIAMI, FL 33193
(305) 408-0077
(305) 408-7737
Mailing address
15628 SW 72 STREET, MIAMI, FL 33193
(305) 408-0077
(305) 408-7737
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
9034
FL
Other
Enumeration date
01/29/2007
Last updated
08/13/2024
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