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NPI Code Detail

MEDICARE: GARDEN ADULT DAY CARE, LLC

MEDICARE: GARDEN ADULT DAY CARE, LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QA0600XAdult Day Care Clinic/Center9363FL

General Provider Information

NPI Number : 1194277251
Entity Type Code : Organization
Provider Name (Legal Business Name) : GARDEN ADULT DAY CARE, LLC
Provider Business Mailing Address
First Line : 10550 NW 77TH CT STE 315
Second Line :
City : HIALEAH GARDENS
State : FL
Zip : 33016-2072
Country : US
Telephone Number : 305-992-5327
Fax Number :
Provider Business Practice Location Address
First Line : 10550 NW 77TH CT STE 315
Second Line :
City : HIALEAH GARDENS
State : FL
Zip : 33016-2072
Country : US
Telephone Number : 305-992-5327
Fax Number :
Authorized Official
Title or Position : OWNER
Name : MR. SERGIO GARCIA
Credential :
Telephone Number : 305-992-5327
Provider Enumeration Date : 10/25/2016
Last Update Date : 10/25/2016

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Directions to “GARDEN ADULT DAY CARE, LLC ” Practice Location

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