Organization
CENTRO LA EDAD DE ORO ADULT DAY CARE
Active
Other names
Anos Dorados Adult Day Care, CENTRO LA EDAD DE ORO ADULT DAY CARE
Organization subpart
No
Provider details
NPI number
Authorized official
LISBET VARGAS (PRESIDENT)
(786) 797-5603
Entity
Organization
Contact information
Practice address
9815 SW 40TH ST, MIAMI, FL 33165-3911
(786) 797-5603
Mailing address
9815 SW 40TH ST, MIAMI, FL 33165-3911
(786) 797-5603
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
9168
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
9168
STATE OF FLORIDA AGENCY FOR HEALTH CARE ADMINISTRATION
FL
Enumeration date
08/16/2012
Last updated
11/11/2021
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