Healthcare Provider Details

I. General information

NPI: 1609651108
Provider Name (Legal Business Name): LA FELICIDAD ADULT DAY CARE, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/31/2023
Last Update Date: 08/31/2023
Certification Date: 08/31/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7755 W 4TH AVE STE 108
HIALEAH FL
33014-4266
US

IV. Provider business mailing address

7755 W 4TH AVE STE 108
HIALEAH FL
33014-4266
US

V. Phone/Fax

Practice location:
  • Phone: 786-838-3508
  • Fax:
Mailing address:
  • Phone: 786-838-3508
  • 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. JENIFFER CORRALES
Title or Position: OWNER
Credential:
Phone: 786-838-3508