Organization
PURA VIDA ADULT DAY CARE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. YINET GONZALEZ (OWNER)
(786) 498-3238
Entity
Organization
Contact information
Practice address
16790 NW 67TH AVE, HIALEAH, FL 33015-4202
(786) 498-3238
Mailing address
16790 NW 67TH AVE, HIALEAH, FL 33015-4202
(786) 498-3238
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9557
—
FL
Enumeration date
02/14/2023
Last updated
02/14/2023
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