Provider Demographics
NPI:1891294625
Name:MIAMI SENIOR ADULT DAY CARE CENTER, LLC
Entity Type:Organization
Organization Name:MIAMI SENIOR ADULT DAY CARE CENTER, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:LILIANA
Authorized Official - Middle Name:
Authorized Official - Last Name:CARBAJO-GARI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:786-525-1936
Mailing Address - Street 1:1630 W 72ND ST
Mailing Address - Street 2:
Mailing Address - City:HIALEAH
Mailing Address - State:FL
Mailing Address - Zip Code:33014-4443
Mailing Address - Country:US
Mailing Address - Phone:786-525-1936
Mailing Address - Fax:
Practice Address - Street 1:1340 W 42ND PL
Practice Address - Street 2:
Practice Address - City:HIALEAH
Practice Address - State:FL
Practice Address - Zip Code:33012-5994
Practice Address - Country:US
Practice Address - Phone:786-525-1936
Practice Address - Fax:305-822-9877
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-02-07
Last Update Date:2018-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care