Organization
IDEAL ADULT DAYCARE CENTER, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARJORIE RODRIGUEZ (PRESIDENT)
(786) 384-9482
Entity
Organization
Contact information
Practice address
5972 W 16 AVE, HIALEAH, FL 33012
(305) 827-3122
(305) 827-3142
Mailing address
5972 W 16 AVE, HIALEAH, FL 33012
(305) 827-3122
(305) 827-3142
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
9190
FL
261QA0600X
Adult Day Care Clinic/Center
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Other
Enumeration date
03/21/2011
Last updated
11/09/2016
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