Healthcare Provider Details

I. General information

NPI: 1821702242
Provider Name (Legal Business Name): ALGARROBO ADULT DAY CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/10/2023
Last Update Date: 01/10/2023
Certification Date: 01/10/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

208 WASHINGTON AVE
HOMESTEAD FL
33030-6034
US

IV. Provider business mailing address

208 WASHINGTON AVE
HOMESTEAD FL
33030-6034
US

V. Phone/Fax

Practice location:
  • Phone: 786-360-7503
  • Fax:
Mailing address:
  • Phone: 786-360-7503
  • 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: MADELEN BALBOA
Title or Position: OWNER
Credential:
Phone: 786-222-8259