Healthcare Provider Details

I. General information

NPI: 1104452408
Provider Name (Legal Business Name): A & L ADULT DAY CARE CORP.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/18/2020
Last Update Date: 03/18/2020
Certification Date: 03/18/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5911 NW 173RD DR UNIT 12
HIALEAH FL
33015-5122
US

IV. Provider business mailing address

6288 NW 186TH ST APT 210
HIALEAH FL
33015-6047
US

V. Phone/Fax

Practice location:
  • Phone: 305-491-0062
  • Fax:
Mailing address:
  • Phone: 786-731-7098
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: MRS. ANNIA ARREGUI
Title or Position: OWNER
Credential:
Phone: 786-731-7098