Healthcare Provider Details

I. General information

NPI: 1003671488
Provider Name (Legal Business Name): SOCIAL INTEGRITY ADULT DAY CARE, LLC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/15/2024
Last Update Date: 02/15/2024
Certification Date: 02/15/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13010 SW 85TH AVENUE RD
MIAMI FL
33156-6502
US

IV. Provider business mailing address

13010 SW 85TH AVENUE RD
MIAMI FL
33156-6502
US

V. Phone/Fax

Practice location:
  • Phone: 305-762-0840
  • Fax:
Mailing address:
  • Phone: 305-762-0840
  • 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: AIXA PEREZ ALBA
Title or Position: MBR
Credential:
Phone: 305-762-0840