Provider Demographics
NPI:1093263766
Name:ALL SMILES ADULT DAY CARE CENTER
Entity Type:Organization
Organization Name:ALL SMILES ADULT DAY CARE CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/ADMINISTRATOR
Authorized Official - Prefix:MISS
Authorized Official - First Name:GENEVIEVE
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:BARBEAU-NASSAR
Authorized Official - Suffix:
Authorized Official - Credentials:MBA-HCA
Authorized Official - Phone:941-228-4571
Mailing Address - Street 1:417 TAMIAMI TRL S
Mailing Address - Street 2:
Mailing Address - City:VENICE
Mailing Address - State:FL
Mailing Address - Zip Code:34285-2600
Mailing Address - Country:US
Mailing Address - Phone:941-228-4571
Mailing Address - Fax:941-237-4235
Practice Address - Street 1:417 TAMIAMI TRL S
Practice Address - Street 2:
Practice Address - City:VENICE
Practice Address - State:FL
Practice Address - Zip Code:34285-2600
Practice Address - Country:US
Practice Address - Phone:941-228-4571
Practice Address - Fax:941-237-4235
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-09-12
Last Update Date:2016-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL9335261QA0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care