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NPI Code Detail

MEDICARE: GILD ADULT DAYCARE LLC.

MEDICARE: GILD ADULT DAYCARE 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
1311Z00000XCustodial Care Facility9220FL

General Provider Information

NPI Number : 1457605941
Entity Type Code : Organization
Provider Name (Legal Business Name) : GILD ADULT DAYCARE LLC.
Provider Business Mailing Address
First Line : 18901 SW 106TH AVE STE A118A120
Second Line :
City : CUTLER BAY
State : FL
Zip : 33157-7661
Country : US
Telephone Number : 305-484-7057
Fax Number :
Provider Business Practice Location Address
First Line : 18901 SW 106TH AVE STE A118A120
Second Line :
City : CUTLER BAY
State : FL
Zip : 33157-7661
Country : US
Telephone Number : 305-484-7057
Fax Number :
Authorized Official
Title or Position : ADMINISTRATOR
Name : MRS. MARIE DESSALINES
Credential :
Telephone Number : 305-484-7057
Provider Enumeration Date : 11/05/2012
Last Update Date : 11/05/2012

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Directions to “GILD ADULT DAYCARE LLC. ” Practice Location

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