Organization
EL EDEN ADULT DAY CARE CENTER CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JORGE S RODRIGUEZ (ADMINISTRATOR/ OWNER)
(305) 303-8906
Entity
Organization
Contact information
Practice address
12700 SW 122ND AVE STE 101, MIAMI, FL 33186-5271
(786) 592-2459
Mailing address
12700 SW 122ND AVE STE 101-102, MIAMI, FL 33186-5265
(786) 592-2459
Taxonomy
Speciality
Code
Description
License number
State
174200000X
Meals Provider
—
—
261QA0600X
Adult Day Care Clinic/Center
Primary
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
Other
Enumeration date
04/02/2019
Last updated
04/02/2019
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