Healthcare Provider Details

I. General information

NPI: 1821502550
Provider Name (Legal Business Name): HAPPY ADULT DAY CARE REHAB, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/16/2017
Last Update Date: 05/15/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7463 W SAMPLE RD
CORAL SPRINGS FL
33065
US

IV. Provider business mailing address

7546 NW 116TH LN
PARKLAND FL
33076-4257
US

V. Phone/Fax

Practice location:
  • Phone: 954-531-3883
  • Fax: 954-827-2935
Mailing address:
  • Phone: 954-531-3883
  • Fax: 954-827-2935

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA0600X
TaxonomyAdult Day Care Clinic/Center
License Number9411
License Number StateFL

VIII. Authorized Official

Name: MRS. ANNU JOSHI
Title or Position: ADMINISTRATOR
Credential: RN
Phone: 954-531-3883