Healthcare Provider Details

I. General information

NPI: 1255981379
Provider Name (Legal Business Name): 0ASIS CLUB DAY CARE CORP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/19/2019
Last Update Date: 09/19/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9782 SW 24TH ST
MIAMI FL
33165-7574
US

IV. Provider business mailing address

9782 SW 24TH ST
MIAMI FL
33165-7574
US

V. Phone/Fax

Practice location:
  • Phone: 305-910-6199
  • Fax:
Mailing address:
  • Phone: 305-910-6199
  • 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. NIEVES ARMAS
Title or Position: PRESIDENT
Credential:
Phone: 305-910-6199