Healthcare Provider Details

I. General information

NPI: 1265007868
Provider Name (Legal Business Name): MONTE DE HOREB ADULT DAYCARE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/25/2021
Last Update Date: 05/25/2021
Certification Date: 05/25/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10841 SW 40TH ST
MIAMI FL
33165-4410
US

IV. Provider business mailing address

10841 SW 40TH ST
MIAMI FL
33165-4410
US

V. Phone/Fax

Practice location:
  • Phone: 786-431-1214
  • Fax: 786-431-1910
Mailing address:
  • Phone: 786-431-1214
  • Fax: 786-431-1910

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: YUSIMIRY RAMIREZ
Title or Position: OWNER
Credential:
Phone: 786-663-6225