Provider Demographics
NPI:1811772957
Name:VIDA Y ALEGRIA ADULT DAY CARE INC
Entity type:Organization
Organization Name:VIDA Y ALEGRIA ADULT DAY CARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LUANDA
Authorized Official - Middle Name:
Authorized Official - Last Name:CABRERA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:786-654-9820
Mailing Address - Street 1:14645 SW 42ND ST
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33175-7825
Mailing Address - Country:US
Mailing Address - Phone:786-654-9820
Mailing Address - Fax:305-456-9985
Practice Address - Street 1:14645 SW 42ND ST
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33175-7825
Practice Address - Country:US
Practice Address - Phone:786-654-9820
Practice Address - Fax:305-456-9985
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-08-28
Last Update Date:2023-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care