Provider Demographics
NPI:1871832725
Name:TREE OF LIFE ADULT DAY CARE, INC.
Entity Type:Organization
Organization Name:TREE OF LIFE ADULT DAY CARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:CECIL
Authorized Official - Middle Name:C
Authorized Official - Last Name:NAVAJAS
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:305-986-8419
Mailing Address - Street 1:8901 SW 157TH AVE
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33196-1102
Mailing Address - Country:US
Mailing Address - Phone:305-382-0111
Mailing Address - Fax:305-382-6264
Practice Address - Street 1:8901 SW 157TH AVE
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33196-1102
Practice Address - Country:US
Practice Address - Phone:305-382-0111
Practice Address - Fax:305-382-6264
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-02-12
Last Update Date:2013-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL9209261QA0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care