Organization
EXECUTIVE ADULT DAY CARE CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. OMAR DE LA CRUZ (OPERATOR)
(305) 261-2700
Entity
Organization
Contact information
Practice address
291 PARK BLVD, MIAMI, FL 33126-8010
(305) 261-2700
(305) 261-2777
Mailing address
291 PARK BLVD, MIAMI, FL 33126-8010
(305) 261-2700
(305) 261-2777
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
9175
FL
Other
Enumeration date
07/20/2012
Last updated
07/20/2012
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