Provider Demographics
NPI:1598030272
Name:ADULT DAY CARE FAMILY DREAMS
Entity Type:Organization
Organization Name:ADULT DAY CARE FAMILY DREAMS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER OPERATOR
Authorized Official - Prefix:
Authorized Official - First Name:ANA
Authorized Official - Middle Name:
Authorized Official - Last Name:FRESNO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-948-0233
Mailing Address - Street 1:3753 NE 163RD ST
Mailing Address - Street 2:
Mailing Address - City:NORTH MIAMI BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33160-4104
Mailing Address - Country:US
Mailing Address - Phone:305-948-0233
Mailing Address - Fax:305-948-0234
Practice Address - Street 1:3753 NE 163RD ST
Practice Address - Street 2:
Practice Address - City:NORTH MIAMI BEACH
Practice Address - State:FL
Practice Address - Zip Code:33160-4104
Practice Address - Country:US
Practice Address - Phone:305-948-0233
Practice Address - Fax:305-948-0234
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-03-14
Last Update Date:2012-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL9193261QA0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care