Provider Demographics
NPI:1346867298
Name:ARECIBO ADULT DAY CARE, INC.
Entity Type:Organization
Organization Name:ARECIBO ADULT DAY CARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:ROSSIE
Authorized Official - Middle Name:
Authorized Official - Last Name:NEVAREZ
Authorized Official - Suffix:
Authorized Official - Credentials:NURSE
Authorized Official - Phone:787-460-4080
Mailing Address - Street 1:PO BOX 1217
Mailing Address - Street 2:
Mailing Address - City:HATILLO
Mailing Address - State:PR
Mailing Address - Zip Code:00659-1217
Mailing Address - Country:US
Mailing Address - Phone:787-460-4080
Mailing Address - Fax:787-650-1541
Practice Address - Street 1:CARR. 129 KM 7 BO DOMINGUITO SECTOR GREEN
Practice Address - Street 2:
Practice Address - City:ARECIBO
Practice Address - State:PR
Practice Address - Zip Code:00612-0061
Practice Address - Country:US
Practice Address - Phone:787-460-4080
Practice Address - Fax:787-460-4080
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-06-26
Last Update Date:2020-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes385H00000XRespite Care FacilityRespite Care