Provider Demographics
NPI:1972042695
Name:ABC-ALSY ADULT DAY CARE II
Entity Type:Organization
Organization Name:ABC-ALSY ADULT DAY CARE II
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MRG
Authorized Official - Prefix:
Authorized Official - First Name:DANIEL
Authorized Official - Middle Name:
Authorized Official - Last Name:OROZCO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-242-5333
Mailing Address - Street 1:248 NW 9TH AVE
Mailing Address - Street 2:
Mailing Address - City:HOMESTEAD
Mailing Address - State:FL
Mailing Address - Zip Code:33030-5754
Mailing Address - Country:US
Mailing Address - Phone:305-242-5333
Mailing Address - Fax:305-242-5360
Practice Address - Street 1:11150 SW 211TH ST
Practice Address - Street 2:
Practice Address - City:CUTLER BAY
Practice Address - State:FL
Practice Address - Zip Code:33189-2845
Practice Address - Country:US
Practice Address - Phone:305-242-5333
Practice Address - Fax:305-242-5360
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ABC-ALSY ADULT DAY CARE CENTERS, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2017-02-14
Last Update Date:2017-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care