Provider Demographics
NPI:1851830855
Name:ABC ADULT DAY CARE, LLC
Entity Type:Organization
Organization Name:ABC ADULT DAY CARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:AMBR
Authorized Official - Prefix:
Authorized Official - First Name:DANIEL
Authorized Official - Middle Name:
Authorized Official - Last Name:OROZCO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:786-255-1569
Mailing Address - Street 1:11150 SW 211TH ST
Mailing Address - Street 2:SUITE # 100
Mailing Address - City:CUTLER BAY
Mailing Address - State:FL
Mailing Address - Zip Code:33189-2845
Mailing Address - Country:US
Mailing Address - Phone:786-255-1569
Mailing Address - Fax:
Practice Address - Street 1:11150 SW 211TH ST
Practice Address - Street 2:SUITE # 100
Practice Address - City:CUTLER BAY
Practice Address - State:FL
Practice Address - Zip Code:33189-2845
Practice Address - Country:US
Practice Address - Phone:786-255-1569
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-02-23
Last Update Date:2017-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care