Provider Demographics
NPI:1568165991
Name:SENIOR LIFE ADULT DAY CARE LLC
Entity Type:Organization
Organization Name:SENIOR LIFE ADULT DAY CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:GEORGINA
Authorized Official - Middle Name:E
Authorized Official - Last Name:TORRES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:786-349-5305
Mailing Address - Street 1:1446 N KROME AVE STE 101
Mailing Address - Street 2:
Mailing Address - City:FLORIDA CITY
Mailing Address - State:FL
Mailing Address - Zip Code:33034-2432
Mailing Address - Country:US
Mailing Address - Phone:786-349-5305
Mailing Address - Fax:786-349-5308
Practice Address - Street 1:1446 N KROME AVE STE 101
Practice Address - Street 2:
Practice Address - City:FLORIDA CITY
Practice Address - State:FL
Practice Address - Zip Code:33034-2432
Practice Address - Country:US
Practice Address - Phone:786-349-5305
Practice Address - Fax:786-349-5308
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-03-24
Last Update Date:2023-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care