Provider Demographics
NPI:1952672552
Name:ABIS ADULT DAY CARE
Entity Type:Organization
Organization Name:ABIS ADULT DAY CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MANUEL
Authorized Official - Middle Name:
Authorized Official - Last Name:VERDE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:786-318-0518
Mailing Address - Street 1:10910 W FLAGLER ST
Mailing Address - Street 2:SUITE 109-110
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33174-1280
Mailing Address - Country:US
Mailing Address - Phone:305-225-2550
Mailing Address - Fax:
Practice Address - Street 1:10910 W FLAGLER ST
Practice Address - Street 2:SUITE 109-110
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33174-1280
Practice Address - Country:US
Practice Address - Phone:305-225-2550
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-01-13
Last Update Date:2022-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL9184261QA0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care