Provider Demographics
NPI:1780097865
Name:J & C ADULT DAY CARE INC.
Entity type:Organization
Organization Name:J & C ADULT DAY CARE INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ANTONIO
Authorized Official - Middle Name:
Authorized Official - Last Name:MARRERO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:561-480-7557
Mailing Address - Street 1:18505 NW 75TH PL
Mailing Address - Street 2:SUITE #114
Mailing Address - City:HIALEAH
Mailing Address - State:FL
Mailing Address - Zip Code:33015-2961
Mailing Address - Country:US
Mailing Address - Phone:305-202-3676
Mailing Address - Fax:305-675-0144
Practice Address - Street 1:18505 NW 75TH PL
Practice Address - Street 2:SUITE #114
Practice Address - City:HIALEAH
Practice Address - State:FL
Practice Address - Zip Code:33015-2961
Practice Address - Country:US
Practice Address - Phone:305-202-3676
Practice Address - Fax:305-675-0144
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-06-06
Last Update Date:2017-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care