Organization
A MI MANERA ADULT DAYCARE HIALEAH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CELIA LOPEZ (PRESIDENT)
(786) 332-2429
Entity
Organization
Contact information
Practice address
851 PALM AVE, HIALEAH, FL 33010-4319
(786) 332-2429
(305) 646-1586
Mailing address
851 PALM AVE, HIALEAH, FL 33010-4319
(786) 332-2429
(305) 646-1586
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
9520
AHCA LICENSE
FL
Enumeration date
09/15/2021
Last updated
09/15/2021
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