Organization
ACTIVE ADULT DAY CARE CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANA IRIS PILOTO (DIRECTOR)
(305) 635-9933
Entity
Organization
Contact information
Practice address
1470 NW 36TH STREET, MIAMI, FL 33142
(305) 635-9933
(305) 635-9767
Mailing address
1470 NW 36TH STREET, MIAMI, FL 33142
(305) 635-9933
(305) 635-9767
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
9123
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002011600
—
FL
Enumeration date
03/18/2011
Last updated
03/18/2011
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