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Organization

PENATE ADULT DAYCARE 6 LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
CLARA PENATE (OWNER)
(305) 458-4156
Entity
Organization

Contact information

Practice address
923 NW 27TH AVE, MIAMI, FL 33125-3016
(786) 550-7100
Mailing address
8200 SW 117TH AVE STE 112, MIAMI, FL 33183-4825
(305) 904-9413

Taxonomy

Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
122276600
FL
Enumeration date
05/06/2024
Last updated
10/22/2024
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