Healthcare Provider Details

I. General information

NPI: 1407198252
Provider Name (Legal Business Name): TLC ADULT DAY CARE CENTER INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/20/2013
Last Update Date: 03/20/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2006 NE 8TH ST
HOMESTEAD FL
33033-4702
US

IV. Provider business mailing address

2006 NE 8TH ST
HOMESTEAD FL
33033-4702
US

V. Phone/Fax

Practice location:
  • Phone: 786-253-1859
  • Fax:
Mailing address:
  • Phone: 786-253-1859
  • 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: ANA ARIAS
Title or Position: OWNER
Credential:
Phone: 786-253-1859