Healthcare Provider Details

I. General information

NPI: 1275767089
Provider Name (Legal Business Name): SERAPHIM THERAPEUTIC ADULT DAY CARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/07/2009
Last Update Date: 07/24/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

638 NE 83RD TER
MIAMI FL
33138-3684
US

IV. Provider business mailing address

638 NE 83RD TER
MIAMI FL
33138-3684
US

V. Phone/Fax

Practice location:
  • Phone: 305-757-9777
  • Fax: 305-757-5222
Mailing address:
  • Phone: 305-757-9777
  • Fax: 305-757-5222

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: JULIETTE PAYEN
Title or Position: OWNER /DIRECTOR
Credential:
Phone: 305-757-9777