Provider Demographics
NPI:1922327550
Name:ADIUVO LLC
Entity Type:Organization
Organization Name:ADIUVO LLC
Other - Org Name:ADIUVO 3
Other - Org Type:Other Name
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:FRANK
Authorized Official - Middle Name:C
Authorized Official - Last Name:MENA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-776-0971
Mailing Address - Street 1:10420 SW 26TH TER
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33165-2702
Mailing Address - Country:US
Mailing Address - Phone:305-776-0971
Mailing Address - Fax:786-427-1380
Practice Address - Street 1:10420 SW 26TH TER
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33165-2702
Practice Address - Country:US
Practice Address - Phone:305-776-0971
Practice Address - Fax:786-427-1380
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-05-21
Last Update Date:2010-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAL11809310400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility