Organization
TRI-CITY ADULT DAY CARE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DILLIA DONNA SQUIRES (CEO/ ADMINISTRATOR)
(352) 217-7615
Entity
Organization
Contact information
Practice address
2046 CLASSIQUE LN, TAVARES, FL 32778-5787
(352) 609-5147
(352) 388-3145
Mailing address
2046 CLASSIQUE LN, TAVARES, FL 32778-5787
(352) 609-5147
(352) 388-3145
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
251E00000X
Home Health Agency
—
—
261QA0600X
Adult Day Care Clinic/Center
Primary
—
—
261QD1600X
Developmental Disabilities Clinic/Center
—
—
385H00000X
Respite Care
—
—
Other
Enumeration date
03/31/2020
Last updated
05/04/2021
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