Provider Demographics
NPI:1598245052
Name:CANITAS ADULT DAY CARE CENTER, INC
Entity Type:Organization
Organization Name:CANITAS ADULT DAY CARE CENTER, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:OSIEL
Authorized Official - Middle Name:
Authorized Official - Last Name:FIGUEREDO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-557-8007
Mailing Address - Street 1:1738 W 49TH ST STE 13-15
Mailing Address - Street 2:
Mailing Address - City:HIALEAH
Mailing Address - State:FL
Mailing Address - Zip Code:33012-3456
Mailing Address - Country:US
Mailing Address - Phone:305-557-6545
Mailing Address - Fax:305-557-6508
Practice Address - Street 1:1738 W 49TH ST STE 13-15
Practice Address - Street 2:
Practice Address - City:HIALEAH
Practice Address - State:FL
Practice Address - Zip Code:33012-3456
Practice Address - Country:US
Practice Address - Phone:305-557-6545
Practice Address - Fax:305-557-6508
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-08-15
Last Update Date:2018-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL9426261QA0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care