Provider Demographics
NPI:1336462167
Name:NONNAS ADULT DAY CARE FACILITY INC.
Entity Type:Organization
Organization Name:NONNAS ADULT DAY CARE FACILITY INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:ROSA
Authorized Official - Middle Name:MARIA
Authorized Official - Last Name:SUAREZ
Authorized Official - Suffix:
Authorized Official - Credentials:MA, EMT
Authorized Official - Phone:305-223-8605
Mailing Address - Street 1:8870 SW 40TH ST
Mailing Address - Street 2:SUITE 5 AND 6
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33165-5465
Mailing Address - Country:US
Mailing Address - Phone:305-223-8605
Mailing Address - Fax:305-397-2426
Practice Address - Street 1:8870 SW 40TH ST
Practice Address - Street 2:SUITE 5 AND 6
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33165-5465
Practice Address - Country:US
Practice Address - Phone:305-223-8605
Practice Address - Fax:305-397-2426
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-03-08
Last Update Date:2010-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL261QA0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL=========OtherI