Provider Demographics
NPI:1871011049
Name:MARIA'S ADULT DAY CARE CENTER
Entity Type:Organization
Organization Name:MARIA'S ADULT DAY CARE CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:MARIA
Authorized Official - Middle Name:
Authorized Official - Last Name:WINER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:727-902-6161
Mailing Address - Street 1:26224 US HIGHWAY 19 N.
Mailing Address - Street 2:
Mailing Address - City:CLEARWATER
Mailing Address - State:FL
Mailing Address - Zip Code:33761
Mailing Address - Country:US
Mailing Address - Phone:727-223-3999
Mailing Address - Fax:727-223-5252
Practice Address - Street 1:26224 US HIGHWAY 19 N.
Practice Address - Street 2:
Practice Address - City:CLEARWATER
Practice Address - State:FL
Practice Address - Zip Code:33761
Practice Address - Country:US
Practice Address - Phone:727-223-3999
Practice Address - Fax:727-223-5252
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:MARIA'S ADULT DAY CARE CENTER LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2017-09-07
Last Update Date:2017-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL9394261QA0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care