Provider Demographics
NPI:1013694918
Name:RENACER 2 ADULT DAY CARE LLC
Entity Type:Organization
Organization Name:RENACER 2 ADULT DAY CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ROLANDO
Authorized Official - Middle Name:
Authorized Official - Last Name:GARCIA CARRIO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-755-2980
Mailing Address - Street 1:724 W 29TH ST
Mailing Address - Street 2:
Mailing Address - City:HIALEAH
Mailing Address - State:FL
Mailing Address - Zip Code:33012-5606
Mailing Address - Country:US
Mailing Address - Phone:305-967-8948
Mailing Address - Fax:305-967-8329
Practice Address - Street 1:724 W 29TH ST
Practice Address - Street 2:
Practice Address - City:HIALEAH
Practice Address - State:FL
Practice Address - Zip Code:33012-5606
Practice Address - Country:US
Practice Address - Phone:305-967-8948
Practice Address - Fax:305-967-8329
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-07-03
Last Update Date:2023-07-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care