Healthcare Provider Details

I. General information

NPI: 1548047798
Provider Name (Legal Business Name): LA VIDA SIGUE ADULT DAY CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/12/2023
Last Update Date: 12/18/2024
Certification Date: 12/18/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13813 S DIXIE HWY
MIAMI FL
33176-7221
US

IV. Provider business mailing address

13813 S DIXIE HWY
MIAMI FL
33176-7221
US

V. Phone/Fax

Practice location:
  • Phone: 305-200-9443
  • Fax:
Mailing address:
  • Phone: 305-200-9443
  • 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: MARIA DE LOS ANGELES DEL CAMPO MENDEZ
Title or Position: OWNER
Credential:
Phone: 305-200-9443